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CENTERWELL SENIOR PRIMARY CARE OF LONGWOOD
NPI 1801002183
Internal Medicine in Longwood, FL

Active since May 15, 2007CLIA 10D0996300 · Waiver
485 S RONALD REAGAN BLVD, LONGWOOD, FL 32750(407) 834-4849(407) 834-4905 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 31, 2022, Feb 23, 2021 and 1 more (4 updates tracked since 2017).

About Centerwell Senior Primary Care Of Longwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE OF LONGWOOD (NPI 1801002183) is a healthcare organization registered as an internal medicine in Longwood, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1801002183
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.
Location Address485 S RONALD REAGAN BLVDLongwood, FL 32750-5408
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(407) 834-4849
Fax(407) 834-4905
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 15, 2007
Last NPPES UpdateMay 10, 20244 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1801002183 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
485 S RONALD REAGAN BLVD, Longwood, FL 32750
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Other Names 3

Doing Business AsCenterwell Senior Primary Care Of Longwood
Former Legal Business NameFamily Physicians Of Winter Park, Inc
Other NameFamily Physicians Of Longwood

Other Identifiers 1

Medicaid025017707FL

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 Of Longwood 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 Of Longwood, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 23 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
Vianis Bravo-Vielma, M.D.
General Practice
NPI 1518498880
485 S RONALD REAGAN BLVD
Longwood, FL 32750
(407) 834-4849
✔ PECOS✔ Accepts MedicareSame address
Abrahim Fahs, DO
Osteopathic Manipulative Medicine
NPI 1285163642
485 S RONALD REAGAN BLVD
Longwood, FL 32750
(407) 834-4849
✔ PECOS✔ Accepts MedicareSame address
Esau Laurencin, MD
General Practice
NPI 1588075774
485 S RONALD REAGAN BLVD
Longwood, FL 32750
(904) 861-1222
✔ PECOS✔ Accepts MedicareSame address
Lissette Moody, ARNP
Nurse Practitioner
NPI 1922379866
661 E ALTAMONTE DR STE 324
Altamonte Springs, FL 32701
(407) 303-3031
✔ PECOS✔ Accepts Medicare2.3 mi
Khurshid Ahmed, MD
Internal Medicine
NPI 1992739007
946 STATE ROAD 436
Casselberry, FL 32707
(407) 831-3141
✔ PECOS✔ Accepts Medicare3.2 mi
Niurka Del Sol, ARNP
Nurse Practitioner
NPI 1437561503
946 STATE ROAD 436
Casselberry, FL 32707
(407) 831-3141
✔ PECOS✔ Accepts Medicare3.2 mi
Radhika Gupta, M.D.
Internal Medicine
NPI 1255317103
946 STATE ROAD 436
Casselberry, FL 32707
(407) 831-3141
✔ PECOS✔ Accepts Medicare3.2 mi
Morteza Mashkouri, M.D.
Family Practice
NPI 1023094489
946 STATE ROAD 436
Casselberry, FL 32707
(407) 831-3141
✔ PECOS✔ Accepts Medicare3.2 mi
Jared West, MD
Internal Medicine
NPI 1467608877
946 STATE ROAD 436
Casselberry, FL 32707
(407) 831-3141
✔ PECOS✔ Accepts Medicare3.2 mi
Jeimi Diedrich, FNP
Nurse Practitioner
NPI 1740936228
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-8200
✔ PECOS✔ Accepts Medicare3.3 mi
Jean Savio Estel, MD
Family Practice
NPI 1184963969
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-8200
✔ PECOS✔ Accepts Medicare3.3 mi
Gladimar Gonzalez Ramos
Internal Medicine
NPI 1972188977
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-8200
✔ PECOS✔ Accepts Medicare3.3 mi
Sorangel Ortiz Rodriguez, APRN
Nurse Practitioner
NPI 1912604695
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(850) 304-7986
✔ PECOS3.3 mi
Jeree Paul, APRN
Nurse Practitioner
NPI 1780348441
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-3746
✔ PECOS✔ Accepts Medicare3.3 mi
Fior Rojas, MD
Family Practice
NPI 1114304508
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-8200
✔ PECOS✔ Accepts Medicare3.3 mi
Muhammad Sohel, DO
Family Practice
NPI 1992233837
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 788-8200
✔ PECOS✔ Accepts Medicare3.3 mi
Josselin Vachon, MD
Cardiovascular Disease (Cardiology)
NPI 1487158325
360 DOUGLAS AVE
Altamonte Springs, FL 32714
(407) 477-5198
✔ PECOS✔ Accepts Medicare3.3 mi
Marcos Rivera Roman, MD
General Practice
NPI 1043956741
3647 S ORLANDO DR
Sanford, FL 32773
(407) 541-0115
✔ PECOS✔ Accepts Medicare6.0 mi
Paola Cruz Chery, MD
Internal Medicine
NPI 1629452719
1000 EXECUTIVE DR STE 7
Oviedo, FL 32765
(407) 365-9000
✔ PECOS✔ Accepts Medicare7.6 mi
Manuel Morillo Menendez, MD
Family Practice
NPI 1194215756
1000 EXECUTIVE DR STE 7
Oviedo, FL 32765
(407) 365-9000
✔ PECOS✔ Accepts Medicare7.6 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 10D0996300

Centerwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Longwood · Longwood, FL
Active · expires Feb 13, 2028
CLIA Number10D0996300
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDr. Jean Savio Estel
Laboratory Phone(407) 834-4849
Laboratory LocationCenterwell Senior Primary Care (fl) Inc Dba Centerwell Senior Primary Care Of Longwood485 S Ronald Reagan Blvd, Longwood, FL 32750
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 1801002183. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Centerwell Senior Primary Care Of Longwood. The provider is also known as Family Physicians of Longwood. 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 485 S Ronald Reagan Blvd, Longwood, FL 32750. The listed phone number is (407) 834-4849.

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 23 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 10D0996300) is associated with this NPI, valid through February 13, 2028. 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.