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

Centerwell Senior Primary Care (Fl) Inc

Organization Family Medicine Physician · NPI 1811548399

Centerwell Senior Primary Care (Fl) Inc is a Family Medicine Physician in Kissimmee, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

3185 W Vine St
Kissimmee, FL 34741-3738
Phone: (407) 569-1260
Fax: (833) 963-0109
Show map & directions

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 number1811548399
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 West Vine; Family Physicians Of West Vine; Family Physicians Of Winter Park, Inc
NPI enumeratedSeptember 25, 2019
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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