Healthcare Provider Details

I. General information

NPI: 1396561171
Provider Name (Legal Business Name): THE DOCTORS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W PINEVIEW ST STE 1001
ALTAMONTE SPRINGS FL
32714-2007
US

IV. Provider business mailing address

PO BOX 878
DAVENPORT FL
33836-0878
US

V. Phone/Fax

Practice location:
  • Phone: 407-788-2773
  • Fax: 407-389-2273
Mailing address:
  • Phone: 689-223-3898
  • Fax: 689-223-3898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROMANELLO
Title or Position: COO
Credential:
Phone: 352-459-3661