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CENTERWELL SENIOR PRIMARY CARE (FL) INC. NPI 1184669418


NPI Information

NPI: 1184669418
Provider Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC.

Former Legal Business Name: FAMILY PHYSICIANS OF WINTER PARK, INC.

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D0860556

Address:
5554 CLARCONA OCOEE RD
ORLANDO, FL
ZIP 32810
Phone: (407) 292-0292
Get Directions

CENTERWELL SENIOR PRIMARY CARE (FL) INC. is an internal medicine in Orlando, 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 1184669418. 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:

5554 CLARCONA OCOEE RD
ORLANDO, FL
ZIP 32810-056
Phone: (407) 292-0292
Fax: (407) 292-5175

The provider's authorized official is Christian Rodriguez .
The authorized official title is Market President and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 10D0860556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineFLORIDANo
2207R00000XInternal MedicineFLORIDANo
3207R00000XInternal MedicineME85114FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019084137MEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.