CENTERWELL SENIOR PRIMARY CARE (FL) INC. NPI 1013086958

NPI Information

NPI: 1013086958
Provider Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Former Legal Business Name: FAMILY PHYSICIANS OF WINTER PARK, INC.
CLIA Number: 10D1033473
Address: 941 N 14TH ST
LEESBURG, FL
ZIP 34748
Phone: (352) 326-4031

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NPI Details

CENTERWELL SENIOR PRIMARY CARE (FL) INC. is an internal medicine in Leesburg, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE (FL) INC. NPI is 1013086958. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Family Physicians Of Winter Park, Inc..

The provider's business location address is:

941 N 14TH ST
LEESBURG, FL
ZIP 34748-838
Phone: (352) 326-4031
Fax: (352) 360-0257

The provider's authorized official is Angie Martinez .
The authorized official title is Senior Credentialing Professional and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 10D1033473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 5/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine	FLORIDA	Yes
3	208D00000X	General Practice		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	025017717	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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