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CENTERWELL SENIOR PRIMARY CARE OF SANFORD
NPI 1891522181
Internal Medicine in Sanford, FL

Active since September 19, 2024CLIA 10D2318672 · Waiver
3647 S ORLANDO DR, SANFORD, FL 32773(407) 541-0115 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Sep 19, 2024 (2 updates tracked since 2024).

About Centerwell Senior Primary Care Of Sanford NPPES

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

CENTERWELL SENIOR PRIMARY CARE OF SANFORD (NPI 1891522181) is a healthcare organization registered as an internal medicine in Sanford, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1891522181
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE FL JV PLLC
Location Address3647 S ORLANDO DRSanford, FL 32773-5611
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661
Phone(407) 541-0115
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1891522181 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
3647 S ORLANDO DR, Sanford, FL 32773
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care Of Sanford

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

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 10D2318672

Centerwell Senior Primary Care (fl) Jv, PLLC Dba Centerwell Senior Primary Care Of Sanford · Sanford, FL
Active · expires Feb 13, 2027
CLIA Number10D2318672
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorMuhammad S. Sohel
Laboratory Phone(407) 541-0115
Laboratory LocationCenterwell Senior Primary Care (fl) Jv, PLLC Dba Centerwell Senior Primary Care Of Sanford3647 S Orlando Dr, Sanford, FL 32773
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MARCOS ANTONIO RIVERA ROMAN MD
General Practice
3647 S ORLANDO DR
SANFORD, FL 32773
Seminole County (407) 541-0115
HETALBEN BHATT
Nurse Practitioner (Acute Care)
3647 S ORLANDO DR
SANFORD, FL 32773
Seminole County (407) 541-0115

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 Jv PLLC's NPI number?

The NPI number for Centerwell Senior Primary Care Fl Jv PLLC is 1891522181. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Centerwell Senior Primary Care Of Sanford.

Where is Centerwell Senior Primary Care Fl Jv PLLC located?

Centerwell Senior Primary Care Fl Jv PLLC is located at 3647 S Orlando Dr, Sanford, FL 32773. The listed phone number is (407) 541-0115.

What is Centerwell Senior Primary Care Fl Jv PLLC's specialty?

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

Does Centerwell Senior Primary Care Fl Jv PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2318672) is associated with this NPI, valid through February 13, 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 Jv PLLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.