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 1922039254

Centerwell Senior Primary Care (Fl) Inc is a Family Medicine Physician in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

904B Cypress Pkwy
Kissimmee, FL 34759-3456
Phone: (407) 483-1400
Fax: (407) 483-1405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1922039254
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 Poinciana; Family Physicians Of Winter Park, Inc.; Family Physicians Of Winter Park Pa; Family Physicians Of Poinciana
NPI enumeratedJuly 5, 2006
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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