| NPI | 1659308807 | 
|---|---|
| Former Legal Business Name | FAMILY PHYSICIANS OF WINTER PARK, INC. | 
| Other Name | FAMILY PHYSICIANS OF SEMORAN | 
| Doing Business As | CENTERWELL SENIOR PRIMARY CARE OF SEMORAN | 
| Entity Type | Organization | 
| Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 208D00000X General Practice | |
| Enumeration Date | 2006-06-26 | 
| Last Update Date | 2024-05-10 |