CLAVDIA CIVIL – Physician Assistant, NPI 1174363519

CLAVDIA CIVIL is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. The NPI Number for CLAVDIA CIVIL is 1174363519

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CLAVDIA CIVIL
NPI
1174363519
Phone
(407) 384-7388
Address
100 N DEAN RD STE 101
Enumeration Date
31 May 2024
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073487388
Graduation Year
2023 (3 years ago)
PAC ID
1951825553
Group Practice PAC ID
2365467867
Professional Enrollment ID
I20250404000834
Address ID
FL328253710OR100XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CLAVDIA CIVIL

  • 100 N DEAN RD STE 101

    ORLANDO, FL 328253710

    Phone: (407) 384-7388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250404000834IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365467867View full group profile
NameSpecialtyState
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YAR
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm CLAVDIA CIVIL's NPI?
Yes. CLAVDIA CIVIL is listed with NPI 1174363519 in the public NPI dataset.
Does CMS list CLAVDIA CIVIL as active?
Yes — CLAVDIA CIVIL is active in the NPI listing used on this page.
What is CLAVDIA CIVIL's primary classification?
Physician Assistant is the headline specialty for CLAVDIA CIVIL here. Clinical services aligned with this taxonomy classification.
What area does CLAVDIA CIVIL serve?
CLAVDIA CIVIL's listing highlights Orlando, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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