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CENTERWELL SENIOR PRIMARY CARE (FL) INC.
NPI 1508891680
Internal Medicine in The Villages, FL

Active since July 11, 2006CLIA 10D1035796 · Waiver
1400 N US HIGHWAY 441 STE 930, THE VILLAGES, FL 32159(352) 750-2108(352) 750-1836 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, Jun 8, 2023, Oct 31, 2022 and 2 more (5 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 1508891680), doing business as Family Physicians Of Winter Park, Inc., is a healthcare organization registered as an internal medicine in The Villages, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1508891680
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address1400 N US HIGHWAY 441 STE 930The Villages, FL 32159-6812
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(352) 750-2108
Fax(352) 750-1836
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 10, 20245 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1508891680 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
1400 N US HIGHWAY 441 STE 930, The Villages, FL 32159
Open in Google Maps ↗

Other Names 3

Former Legal Business NameFamily Physicians Of Winter Park, Inc.
Doing Business AsCenterwell Senior Primary Care- The Villages
Doing Business AsFamily Physicians Of The Villages

Other Identifiers 1

Medicaid106839500FL

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, 7 practice 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
Maya Dema, APRN
Nurse Practitioner
NPI 1477279255
1400 N US HIGHWAY 441 STE 810
Lady Lake, FL 32159
(352) 750-2108
✔ PECOS✔ Accepts Medicare4.3 mi
Gladys Duarte, MD
General Practice
NPI 1497146468
1400 N US HIGHWAY 441 STE 810
Lady Lake, FL 32159
(352) 750-2108
✔ PECOS✔ Accepts Medicare4.3 mi
Lisa Holcomb, ARNP
Nurse Practitioner
NPI 1861861973
1400 N US HIGHWAY 441 STE 810
The Villages, FL 32159
(863) 291-5110
✔ PECOS✔ Accepts Medicare4.3 mi
Yamil Carlo Lopez, MD
General Practice
NPI 1588270748
941 N 14TH ST
Leesburg, FL 34748
(352) 326-4031
✔ PECOS✔ Accepts Medicare9.6 mi
Alyson Clegg, CRNP
Nurse Practitioner
NPI 1518618578
941 N 14TH ST
Leesburg, FL 34748
(850) 304-7986
✔ PECOS9.6 mi
Elffy Munoz, MD
Internal Medicine
NPI 1023694130
941 N 14TH ST
Leesburg, FL 34748
(352) 326-4031
✔ PECOS✔ Accepts Medicare9.6 mi
Vanessa Piscoya
Internal Medicine
NPI 1669092581
941 N 14TH ST
Leesburg, FL 34748
(352) 326-4031
✔ PECOS✔ Accepts Medicare9.6 mi
Brandel Dailey, NP
Nurse Practitioner
NPI 1033993225
1101 S EUSTIS ST
Eustis, FL 32726
(523) 360-8787
✔ PECOS✔ Accepts Medicare18 mi
Ransky Allonce, M.D.
General Practice
NPI 1770991010
1735 E HIGHWAY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
Yeny Andrade, MD
Family Practice
NPI 1346253424
1735 E HWY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
David Ellens, MD
Internal Medicine
NPI 1780785402
1735 E HWY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
Deanna Koenen, ARNP
Nurse Practitioner
NPI 1538591888
1735 E HWY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
Jessica Maisonave, MD
General Practice
NPI 1194793927
1735 E HIGHWAY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
Damarys Mustelier-Cedeno, MD
Family Practice
NPI 1053936229
1735 E HWY 50 STE B
Clermont, FL 34711
(352) 241-0549
✔ PECOS✔ Accepts Medicare31 mi
Amparo Calderon Salom, APRN
Nurse Practitioner
NPI 1699500892
1049 W ORANGE BLOSSOM TRL
Apopka, FL 32712
(407) 884-2952
✔ PECOS✔ Accepts Medicare32 mi
Olukemi Dada
Nurse Practitioner
NPI 1801386867
1049 W ORANGE BLOSSOM TRL
Apopka, FL 32712
(407) 884-2952
✔ PECOS✔ Accepts Medicare32 mi
Carlos Dominguez, MD
Family Practice
NPI 1033851472
1049 W ORANGE BLOSSOM TRL
Apopka, FL 32712
(407) 884-2952
✔ PECOS✔ Accepts Medicare32 mi
Sonali Kumar, MD
Internal Medicine
NPI 1922099308
7649 W COLONIAL DR STE 115
Orlando, FL 32818
(407) 522-2080
✔ PECOS✔ Accepts Medicare39 mi
Josselin Vachon, MD
Cardiovascular Disease (Cardiology)
NPI 1487158325
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 477-5198
✔ PECOS✔ Accepts Medicare39 mi
Abrahim Fahs, DO
Osteopathic Manipulative Medicine
NPI 1285163642
485 S RONALD REAGAN BLVD
Longwood, FL 32750
(407) 834-4849
✔ PECOS✔ Accepts Medicare41 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

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 10D1035796

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of The Villages · Lady Lake, FL
Active · expires Jan 10, 2027
CLIA Number10D1035796
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorDr. Yeny Andrade
Laboratory Phone(352) 750-2108
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of The Villages1400 Us Hwy 441 N, Lady Lake, FL 32159
CLIA data matches this NPI record on: 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 1508891680. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as CenterWell Senior Primary Care- The Villages and Family Physicians of The Villages. 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 1400 N Us Highway 441 Ste 930, The Villages, FL 32159. The listed phone number is (352) 750-2108.

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, 7 practice 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 10D1035796) is associated with this NPI, valid through January 10, 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.