CENTERWELL SENIOR PRIMARY CARE OF WEST VINE - NPI 1811548399

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.

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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

Other Providers at the Same Location NPPES 14

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

DR. JORGE ENRIQUE JUSTICIA FERRER MD

General Practice