DR. LUZ BOBADILLA (DDS) – General Practice Dentistry, NPI 1942321765
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LUZ BOBADILLA (DDS)
4638 S ORANGE BLOSSOM TRAIL
ORLANDO, FL 328395406
Phone: (407) 251-2223
Fax: (407) 251-2226
Type: Mailing
4638 S ORANGE BLOSSOM TRL
ORLANDO, FL 328391706
Phone: (407) 251-2223
Fax: (407) 251-2226
Type: Location
1290 GOLFVIEW AVE
BARTOW, FL 338306703
Phone: (863) 519-7900
Fax: (863) 519-7696
Type: Mailing
1700 BAKER AVE STE B
HAINES CITY, FL 338448839
Phone: (863) 256-1560
Fax: (863) 519-7696
Type: Location
3241 Lakeland Hills Blvd
Lakeland, FL 338052266
Phone: (863) 940-5198
Fax: (863) 519-7696
Type: Location
1805 Hobbs Rd
Auburndale, FL 338234644
Phone: (863) 269-4343
Fax: (863) 519-7696
Type: Location
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: 2024-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240620000505 | I | Dentist | FL | TBD |
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.
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 32839)
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