MEDICARE: THE DOCTORS CENTER 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1396561171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DOCTORS CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 878
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33836-0878
Country	:	US
Telephone Number	:	689-223-3898
Fax Number	:	689-223-3898

Provider Business Practice Location Address
First Line	:	280 WEKIVA SPRINGS RD STE 1000
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-6098
Country	:	US
Telephone Number	:	407-788-2273
Fax Number	:	407-389-2273

Authorized Official
Title or Position	:	COO
Name	:	DAVID ROMANELLO
Credential	:
Telephone Number	:	352-459-3661

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

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Directions to “THE DOCTORS CENTER INC ” Practice Location

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