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CENTERWELL SENIOR PRIMARY CARE (FL) INC. NPI 1306899307


NPI Information

NPI: 1306899307
Provider Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC.

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

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1008435

Address:
360 DOUGLAS AVE
ALTAMONTE SPRINGS, FL
ZIP 32714
Phone: (407) 788-8200
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CENTERWELL SENIOR PRIMARY CARE (FL) INC. is a family medicine in Altamonte Springs, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTERWELL SENIOR PRIMARY CARE (FL) INC. NPI is 1306899307. 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:

360 DOUGLAS AVE
ALTAMONTE SPRINGS, FL
ZIP 32714-335
Phone: (407) 788-8200
Fax: (407) 788-3746

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 10D1008435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 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
1207R00000XInternal MedicineME78573FLORIDANo
2207R00000XInternal MedicineME76364FLORIDANo
3207R00000XInternal MedicineFLORIDANo
4207Q00000XFamily MedicineFLORIDAYes

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
1025017705MEDICAIDFLORIDA

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: 11/14/2023

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.