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

Active since May 18, 2006CLIA Certified · 2 labs
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: August 02, 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 2 active CLIA laboratory certificates 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
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

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

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 10D1032090

Centerwell Senior Primary Care (fl) Inc Centerwell Senior Primary Care Of Bvl · Kissimmee, FL
Active · expires 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.

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.

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.

Internal Medicine
2577 SIMPSON RD
KISSIMMEE, FL 34744
General Practice
2577 SIMPSON RD
KISSIMMEE, FL 34744
General Practice
2577 SIMPSON RD
KISSIMMEE, FL 34744
Internal Medicine
2577 SIMPSON RD
KISSIMMEE, FL 34744

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.

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

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.