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CENTERWELL SENIOR PRIMARY CARE (FL) INC.
NPI 1215980214
Internal Medicine in Kissimmee, FL

Active since May 18, 2006CLIA 10D2314406 · Waiver
2577 SIMPSON RD, KISSIMMEE, FL 34744(407) 348-8338(407) 348-1709 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2024, Oct 28, 2022, Feb 23, 2021 and 1 more (4 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 1215980214), doing business as Family Physicians Of Winter Park, Inc., is a healthcare organization registered as an internal medicine in Kissimmee, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1215980214
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address2577 SIMPSON RDKissimmee, FL 34744-4642
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(407) 348-8338
Fax(407) 348-1709
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 10, 20244 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1215980214 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
2577 SIMPSON RD, Kissimmee, FL 34744
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Other Names 3

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

Other Identifiers 1

Medicaid025017710FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerwell Senior Primary Care (fl) Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

122

Medicare enrollment records show 122 clinicians reassign Medicare billing to Centerwell Senior Primary Care (fl) Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner42
Family Practice27
General Practice27
Internal Medicine23
Cardiovascular Disease (Cardiology)2
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 122
Anne Lafontant, MD
General Practice
NPI 1518361377
2577 SIMPSON RD
Kissimmee, FL 34744
(407) 348-8338
✔ PECOS✔ Accepts MedicareSame address
Lismarie Quinones, M.D.
Internal Medicine
NPI 1164568234
2577 SIMPSON RD
Kissimmee, FL 34744
(407) 348-8338
✔ PECOS✔ Accepts MedicareSame address
William Suarez, MD
General Practice
NPI 1780636605
2577 SIMPSON RD
Kissimmee, FL 34744
(407) 543-0474
✔ PECOS✔ Accepts MedicareSame address
Susana Cardoso
Nurse Practitioner
NPI 1770037202
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Ygdalia Dominguez
Nurse Practitioner
NPI 1891552485
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 550-5616
✔ PECOS✔ Accepts Medicare5.8 mi
Gusev Gonzalez Campbell, MD
Family Practice
NPI 1104194463
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Emily Leon-Rodriguez, MD
General Practice
NPI 1285187823
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Francisco Rodriguez Gomez, MD
Internal Medicine
NPI 1306324728
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Jessica Rosario, M.D.
Family Practice
NPI 1255318382
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Asdrubal Sepulveda, MD
Internal Medicine
NPI 1053520353
14075 TOWN LOOP BLVD
Orlando, FL 32837
(407) 438-5858
✔ PECOS✔ Accepts Medicare5.8 mi
Maria Guzman, M.D.
General Practice
NPI 1750564969
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Dagnex Jimenez Najarro, APRN
Nurse Practitioner
NPI 1578344008
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Jorge Justicia Ferrer, MD
General Practice
NPI 1073137857
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Victor Marmolejos, M.D.
Internal Medicine
NPI 1225307085
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Luis Mendez, M.D.
General Practice
NPI 1235261660
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Maria Montanez, FNP
Nurse Practitioner
NPI 1467877209
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Ann Raikes Hartley, ARNP
Nurse Practitioner
NPI 1225385818
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Ricardo Varas, MD
Internal Medicine
NPI 1134148299
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare6.0 mi
Carol Espinal, MD
Family Practice
NPI 1548421894
12402 S ORANGE BLOSSOM TRL STE 6
Orlando, FL 32837
(407) 541-0114
✔ PECOS✔ Accepts Medicare6.0 mi
Yoel Olazabal Pupo, M.D
Family Practice
NPI 1215390711
12402 S ORANGE BLOSSOM TRL STE 6
Orlando, FL 32837
(407) 541-0114
✔ PECOS✔ Accepts Medicare6.0 mi
See all 122 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 10D2314406

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Gateway Station · Kissimmee, FL
Active · expires Nov 18, 2026
CLIA Number10D2314406
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMarina Garcia-Fraga
Laboratory Phone(407) 522-2089
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Gateway Station1471-B E Osceola Pkwy, Kissimmee, FL 34744
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1032090

Centerwell Senior Primary Care (fl) Inc Centerwell Senior Primary Care Of Bvl · Kissimmee, FL
Expired · Oct 17, 2026
CLIA Number10D1032090
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorLismarie Quinones
Laboratory Phone(407) 348-8338
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Centerwell Senior Primary Care Of Bvl2577 Simpson Rd, Kissimmee, FL 34744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1215980214. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as CenterWell Senior Primary Care of BVL. The provider was formerly known as Family Physicians Of Winter Park, Inc. and Family Physicians of BVL.

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

Centerwell Senior Primary Care (fl) Inc. is located at 2577 Simpson Rd, Kissimmee, FL 34744. The listed phone number is (407) 348-8338.

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

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

Is Centerwell Senior Primary Care (fl) Inc. enrolled in Medicare?

Yes. Centerwell Senior Primary Care (fl) Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care (fl) Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 6 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (fl) Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Family Practice (27) and General Practice (27). Of these, 3 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 10D2314406) is associated with this NPI, valid through November 18, 2026. 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.