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

Centerwell Senior Primary Care Vitality Inc

Organization Family Medicine Physician · NPI 1154293108

Centerwell Senior Primary Care Vitality Inc is a Family Medicine Physician in The Villages, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

779 Kristine Way
The Villages, FL 32163-0099
Phone: (352) 674-6020
Fax: (352) 674-6030
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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 number1154293108
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Vitality Inc
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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