Revalidation record

Physicians Medical Group Of Southwest Florida,llc — revalidation due 2026-11-30

on list

NPI 1104259035 · Non-DME Part B · FL · Enrollment ID O20131210000109

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

Enrollment	State	Form	Due
O20131210000109	FL	855B	2026-11-30
O20221010002618	FL	855I	TBD

Revalidation due: 2026-11-30
Form to file: 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.

This NPI's revalidation is due 2026-11-30 — in 32 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

Snapshot	Due date on the CMS file
2026-10	2026-11-30

Not an official CMS system. Verify before filing.