CENTERWELL SENIOR PRIMARY CARE (FL) INC.
NPI 1487680252
Internal Medicine in Saint Cloud, FL

Active since June 24, 2006CLIA Certified · 2 labs
3505 PROGRESS LN, SAINT CLOUD, FL 34769(407) 569-1260(833) 963-0109 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Sep 2, 2025, Jun 30, 2025 and 5 more (8 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 1487680252), doing business as Centerwell Senior Primary Care Of Downtown, is a healthcare organization registered as an internal medicine in Saint Cloud, Florida and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1487680252
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address3505 PROGRESS LNSaint Cloud, FL 34769-6519
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(833) 963-0109
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJune 24, 2006
Last NPPES UpdateDecember 18, 20258 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1487680252 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
3505 PROGRESS LN, Saint Cloud, FL 34769

Other Names 1

Doing Business AsCenterwell Senior Primary Care Of Downtown

Other Identifiers 1

Medicaid025017706FL

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 10D0993125

Centerwell Senior Primary Care Fl Inc Dba Centerwell Senior Primary Care Of Soldier City · Saint Cloud, FL
Active · expires May 14, 2027
CLIA Number10D0993125
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorGusev Gonzalez Campbell
Laboratory Phone(407) 569-1260
Laboratory LocationCenterwell Senior Primary Care Fl Inc Dba Centerwell Senior Primary Care Of Soldier City3505 Progress Lane, Saint Cloud, FL 34769
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 10D2035337

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of West Vine · Kissimmee, FL
Active · expires Jan 16, 2028
CLIA Number10D2035337
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorDr. Sonali Kumar
Laboratory Phone(407) 569-1260
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of West Vine3185 W Vine Street, Kissimmee, FL 34741
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 15

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

Marriage & Family Therapist
3505 PROGRESS LN
SAINT CLOUD, FL 34769
Family Medicine (Adult Medicine)
3505 PROGRESS LN
SAINT CLOUD, FL 34769
Family Medicine
3505 PROGRESS LN
SAINT CLOUD, FL 34769
Counselor (Mental Health)
3505 PROGRESS LN
SAINT CLOUD, FL 34769
General Practice
3505 PROGRESS LN
SAINT CLOUD, FL 34769
General Practice
3505 PROGRESS LN
SAINT CLOUD, FL 34769
Non-Pharmacy Dispensing Site
3505 PROGRESS LN
SAINT CLOUD, FL 34769
Internal Medicine
3505 PROGRESS LN
SAINT CLOUD, FL 34769

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 1487680252. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as CenterWell Senior Primary Care of Downtown.

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

Centerwell Senior Primary Care (fl) Inc. is located at 3505 Progress Ln, Saint Cloud, FL 34769. The listed phone number is (407) 569-1260.

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 December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.