DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTERWELL SENIOR PRIMARY CARE (FL) INC.

MEDICARE: CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianFL
2208D00000XGeneral Practice Physician
3204R00000XElectrodiagnostic Medicine PhysicianFL
4207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346293636
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Provider Business Mailing Address
First Line : 4700 MILLENIA BLVD STE 650
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6013
Country : US
Telephone Number : 407-447-7120
Fax Number :
Provider Business Practice Location Address
First Line : 1735 E HWY 50 STE B
Second Line :
City : CLERMONT
State : FL
Zip : 34711-5189
Country : US
Telephone Number : 352-241-0549
Fax Number : 352-242-9325
Authorized Official
Title or Position : SENIOR CREDENTIALING PROFESSIONAL
Name : ANGIE MARTINEZ
Credential :
Telephone Number : 407-447-7120
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/10/2024

Similar Medicare Providers

1770991010 — DR. RANSKY MAX ALLONCE M.D.
Practice Location Address:
1735 E HIGHWAY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325
1346253424 — DR. YENY WALESKA ANDRADE MD
Practice Location Address:
1735 E HWY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325
1780785402 — DR. DAVID L ELLENS MD
Practice Location Address:
1735 E HWY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325
1538591888 — DEANNA L KOENEN ARNP
Practice Location Address:
1735 E HWY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325
1194793927 — DR. JESSICA MAISONAVE MD
Practice Location Address:
1735 E HIGHWAY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325
1972530467 — ANGELA M. BALON D.O.
Practice Location Address:
1735 E HIGHWAY 50 STE B
CLERMONT, FL
34711-5189
Practice Phone: 352-241-0549
Practice Fax: 352-242-9325

Directions to “CENTERWELL SENIOR PRIMARY CARE (FL) INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.