CENTERWELL SENIOR PRIMARY CARE OF WEST VINE
NPI 1811548399
Internal Medicine in Kissimmee, FL

Q: What is Centerwell Senior Primary Care (fl) Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 25, 2019

3185 W VINE ST, KISSIMMEE, FL 34741(407) 569-1260(833) 963-0109 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Oct 31, 2022, Feb 23, 2021 and 1 more (4 updates tracked since 2019).

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About Centerwell Senior Primary Care Of West Vine NPPES

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

CENTERWELL SENIOR PRIMARY CARE OF WEST VINE (NPI 1811548399) is a healthcare organization registered as an internal medicine in Kissimmee, Florida and active in the NPI registry since September 2019. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1811548399

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (FL) INC.

Location Address3185 W VINE STKissimmee, FL 34741-3738

Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120

Phone(407) 569-1260

Fax(833) 963-0109

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateSeptember 25, 2019

Last NPPES UpdateMay 10, 20244 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1811548399 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

3185 W VINE ST, Kissimmee, FL 34741

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Other Names 3

Doing Business AsCenterwell Senior Primary Care Of West Vine

Doing Business AsFamily Physicians Of West Vine

Former Legal Business NameFamily Physicians Of Winter Park, Inc

Other Identifiers 1

Medicaid019084135FL

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 West Vine 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 West Vine, which bills Medicare for the services they deliver. Of these, 27 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

Maria Guzman, M.D.

General Practice

NPI 1750564969