CENTERWELL SENIOR PRIMARY CARE (FL) INC. – NPI #1467521302
Internal Medicine

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. is a provider located in ORLANDO, FL. NPPES has assigned the NPI number 1467521302 to CENTERWELL SENIOR PRIMARY CARE (FL) INC. on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is FAMILY PHYSICIANS OF WINTER PARK INC. The NPI data also shows multiple names associated with this provider such as CenterWell Senior Primary Care of Lake Underhill and 3 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Dec 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTERWELL SENIOR PRIMARY CARE (FL) INC. below.

NPI Profile for
CENTERWELL SENIOR PRIMARY CARE (FL) INC.

NPI Number
1467521302
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Former Legal Business Name: FAMILY PHYSICIANS OF WINTER PARK INC
Other name(s)
All associated names:
Doing Business As (dba)
CenterWell Senior Primary Care of Lake Underhill
Doing Business As (dba)
Family Physicians of Lake Underhill
Former Legal Business Name
Family Physicians of Winter Park Inc
Former Legal Business Name
Family Physicians of Winter Park PA
Primary location
11242 E COLONIAL DR
ORLANDO, FL 32817-4537
Phone: (407) 273-7373 Fax: (407) 770-0675
Mailing address
6101 BLUE LAGOON DR STE 200
MIAMI, FL 33126-3168
Phone: (305) 500-2000 Fax:
Organization Subpart
Yes - CENTERWELL SENIOR PRIMARY CARE (FL) INC. is subpart of another organization.
Authorized Official
ANGIE MARTINEZ
SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120
Updated
Certification Date
Dec 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTERWELL SENIOR PRIMARY CARE (FL) INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL025017715
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
FL
208D00000X
- General Practice
207Q00000X
- Family Medicine
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.