Healthcare Provider Details

I. General information

NPI: 1922926823
Provider Name (Legal Business Name): ORIGEN HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 ALGARE LOOP
WINDERMERE FL
34786-6044
US

IV. Provider business mailing address

943 ALGARE LOOP
WINDERMERE FL
34786-6044
US

V. Phone/Fax

Practice location:
  • Phone: 704-912-7647
  • Fax:
Mailing address:
  • Phone: 704-912-7647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANA MARIA ZULETA
Title or Position: OWNER/MANAGING MEMBER
Credential: MD
Phone: 407-234-5029