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CENTERWELL SENIOR PRIMARY CARE (FL) INC.
NPI 1346293636
Internal Medicine in Clermont, FL

Active since May 18, 2006CLIA 10D1040897 · Waiver
1735 E HWY 50 STE B, CLERMONT, FL 34711(352) 241-0549(352) 242-9325 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 1346293636), doing business as Family Physicians Of Winter Park, Inc., is a healthcare organization registered as an internal medicine in Clermont, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1346293636
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address1735 E HWY 50 STE BClermont, FL 34711-5189
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(352) 241-0549
Fax(352) 242-9325
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 1346293636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1735 E HWY 50 STE B, Clermont, FL 34711
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Other Names 3

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

Other Identifiers 1

Medicaid025017708FL

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 10D1040897

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Clermont · Clermont, FL
Active · expires May 18, 2027
CLIA Number10D1040897
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorYeny Andrade
Laboratory Phone(352) 241-0549
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Clermont1735 B East Hwy 50, Clermont, FL 34711
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DAMARYS MUSTELIER-CEDENO MD
Family Medicine
1735 E HWY 50 STE B
CLERMONT, FL 34711
Lake County (352) 241-0549
DR. YENY WALESKA ANDRADE MD
Family Medicine
1735 E HWY 50 STE B
CLERMONT, FL 34711
Lake County (352) 241-0549
DEANNA L KOENEN ARNP
Nurse Practitioner (Adult Health)
1735 E HWY 50 STE B
CLERMONT, FL 34711
Lake County (352) 241-0549
DR. DAVID L ELLENS MD
Internal Medicine
1735 E HWY 50 STE B
CLERMONT, FL 34711
Lake County (352) 241-0549
MARY MARGARET KELLY NP
Nurse Practitioner
1735 E HWY 50 STE B
CLERMONT, FL 34711
Lake County (352) 241-0549

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 1346293636. 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 Clermont. The provider was formerly known as Family Physicians Of Winter Park, Inc. and Family Physicians of Clermont.

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

Centerwell Senior Primary Care (fl) Inc. is located at 1735 E Hwy 50 Ste B, Clermont, FL 34711. The listed phone number is (352) 241-0549.

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 10D1040897) is associated with this NPI, valid through May 18, 2027. 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.