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CENTERWELL SENIOR PRIMARY CARE (FL) INC.
NPI 1104995042
Internal Medicine in Oviedo, FL

Active since November 07, 2006CLIA 10D0998542 · Waiver
1000 EXECUTIVE DR STE 7, OVIEDO, FL 32765(407) 365-9000(407) 365-0775 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Jun 8, 2023, Oct 28, 2022 and 4 more (7 updates tracked since 2017).

About Centerwell Senior Primary Care (fl) Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE (FL) INC. (NPI 1104995042), doing business as Family Physicians Of Winter Park, Inc., is a healthcare organization registered as an internal medicine in Oviedo, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1104995042
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address1000 EXECUTIVE DR STE 7Oviedo, FL 32765-8140
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(407) 365-9000
Fax(407) 365-0775
Organization SubpartYesParent: Centerwell Senior Primary Care Of Winter Park
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 10, 20247 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1104995042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1000 EXECUTIVE DR STE 7, Oviedo, FL 32765
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Other Names 3

Former Legal Business NameFamily Physicians Of Winter Park, Inc.
Doing Business AsCenterwell Senior Primary Care Of Oviedo
Other NameFamily Physicians Of Oviedo

Other Identifiers 1

Medicaid025017704FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0998542

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Primary Care Of Oviedo · Oviedo, FL
Active · expires Apr 17, 2028
CLIA Number10D0998542
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorGusev Gonzalez Campbell
Laboratory Phone(407) 365-9000
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Primary Care Of Oviedo1000 Executive Dr Suite 7, Oviedo, FL 32765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANUEL MORILLO MENENDEZ MD
Family Medicine
1000 EXECUTIVE DR STE 7
OVIEDO, FL 32765
Seminole County (407) 365-9000
INSIGNIA BEHAVIORAL HEALTHCARE, LLC
Counselor (Mental Health)
1000 EXECUTIVE DR STE 7
OVIEDO, FL 32765
Seminole County (407) 977-4335
REINALDO SANTANA MD
Family Medicine
1000 EXECUTIVE DR STE 7
OVIEDO, FL 32765
Seminole County (407) 365-9000
PAOLA NINOSKA CRUZ CHERY MD
Internal Medicine
1000 EXECUTIVE DR STE 7
OVIEDO, FL 32765
Seminole County (407) 365-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care (fl) Inc.'s NPI number?

The NPI number for Centerwell Senior Primary Care (fl) Inc. is 1104995042. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as CenterWell Senior Primary Care of Oviedo. The provider is also known as Family Physicians of Oviedo. The provider was formerly known as Family Physicians Of Winter Park, Inc..

Where is Centerwell Senior Primary Care (fl) Inc. located?

Centerwell Senior Primary Care (fl) Inc. is located at 1000 Executive Dr Ste 7, Oviedo, FL 32765. The listed phone number is (407) 365-9000.

What is Centerwell Senior Primary Care (fl) Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (fl) Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0998542) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (fl) Inc. was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.