Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care (Fl) Inc

Organization Family Medicine Physician · NPI 1053128413

Centerwell Senior Primary Care (Fl) Inc is a Family Medicine Physician in Orlando, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1303 S Semoran Blvd
Orlando, FL 32807-2915
Phone: (407) 698-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1053128413
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Fl) Inc
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care Of Azalea
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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