MEDICARE: PENTUS HEALTH PRIMARY CARE WINTER SPRINGS LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1033909056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENTUS HEALTH PRIMARY CARE WINTER SPRINGS LLC

Provider Business Mailing Address
First Line	:	253 WINDING HOLLOW BLVD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4035
Country	:	US
Telephone Number	:	407-756-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 WINDING HOLLOW BLVD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4035
Country	:	US
Telephone Number	:	844-973-6887
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	IVAN REYES
Credential	:
Telephone Number	:	407-756-3474

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	10/27/2025

Similar Medicare Providers

1821275199 — PRITIBEN MOHAN PATEL PHARM.D.
Practice Location Address:

263 WINDING HOLLOW BLVD STE 1005
WINTER SPRINGS, FL
32708-4035

Practice Phone: 610-834-1122
Practice Fax:

1912223264 — KERA O'BRIEN
Practice Location Address:

4035 WINTER TER
TITUSVILLE, FL
32780-6000

Practice Phone: 321-289-2640
Practice Fax:

1457619801 — CORNERSTONE COMMUNICATION INC.
Practice Location Address:

4035 WINTER TER
TITUSVILLE, FL
32780-6000

Practice Phone: 321-289-2640
Practice Fax:

1740371020 — DR. THOMAS ALLEN HENDERSON MD
Practice Location Address:

722 S WAHSATCH AVE
COLORADO SPRINGS, CO
80903-4035

Practice Phone: 719-632-5700
Practice Fax: 719-344-7817

1912061466 — MS. MARY J SHAFFER NP
Practice Location Address:

722 S WAHSATCH AVE
COLORADO SPRINGS, CO
80903-4035

Practice Phone: 719-632-5700
Practice Fax: 719-344-7828

1659599975 — DEBRA M KOEPFER PA
Practice Location Address:

722 S WAHSATCH AVE
COLORADO SPRINGS, CO
80903-4035

Practice Phone: 719-632-5700
Practice Fax:

Directions to “PENTUS HEALTH PRIMARY CARE WINTER SPRINGS LLC ” 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.