| Centerwell Senior Primary Care (fl) Inc. | |
|
5997 S Goldenrod Orlando FL 32822 | |
| (407) 856-1900 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care (fl) Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5997 S Goldenrod, Orlando, Florida |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (fl) Inc. 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care (fl) Inc. 5997 S Goldenrod Orlando FL 32822 Ph: (407) 856-1900 |
| NPI Number | 1487686705 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 9830184738 |
|---|---|
| Medicare Enrollment ID | O20040419001657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487686705 | NPI | - | NPPES |
| 025017709 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Timothy Dana Jetton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295708139 PECOS PAC ID: 9830098342 Enrollment ID: I20040105000204 |
| Provider Name | Bill Byrd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174511323 PECOS PAC ID: 1254231236 Enrollment ID: I20040115000855 |
| Provider Name | Radhika Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255317103 PECOS PAC ID: 2163418542 Enrollment ID: I20040421001528 |
| Provider Name | Khurshid Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992739007 PECOS PAC ID: 1850387259 Enrollment ID: I20040421001699 |
| Provider Name | Fadi Yared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265441927 PECOS PAC ID: 7719969609 Enrollment ID: I20040603001295 |
| Provider Name | Carol A Stewart-francisco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013920305 PECOS PAC ID: 5496730582 Enrollment ID: I20040623000806 |
| Provider Name | Morteza Mashkouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023094489 PECOS PAC ID: 9234115049 Enrollment ID: I20040624000617 |
| Provider Name | Jessica Rosario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255318382 PECOS PAC ID: 4183514284 Enrollment ID: I20041004000297 |
| Provider Name | Sonali S Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922099308 PECOS PAC ID: 3971552985 Enrollment ID: I20050118000148 |
| Provider Name | Maile Naomi Akiko Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552517 PECOS PAC ID: 2567409709 Enrollment ID: I20050412000248 |
| Provider Name | Tayyaba Nadir Tariq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892498 PECOS PAC ID: 5991749194 Enrollment ID: I20050618000031 |
| Provider Name | Reinaldo Santana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619072675 PECOS PAC ID: 0042242265 Enrollment ID: I20050908000216 |
| Provider Name | Usha K Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346226719 PECOS PAC ID: 3476528209 Enrollment ID: I20051024000820 |
| Provider Name | Jorge E Ribet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245335215 PECOS PAC ID: 1052339546 Enrollment ID: I20051103000201 |
| Provider Name | Ricardo J Varas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134148299 PECOS PAC ID: 7012915986 Enrollment ID: I20061201000403 |
| Provider Name | Sabrina P Gmerek Pettus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598753287 PECOS PAC ID: 2961507181 Enrollment ID: I20070417000586 |
| Provider Name | Juan Rodriguez Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447237292 PECOS PAC ID: 9638274327 Enrollment ID: I20070425000551 |
| Provider Name | Anthony Altino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477539880 PECOS PAC ID: 1658477294 Enrollment ID: I20070427000560 |
| Provider Name | Melanie D Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245456946 PECOS PAC ID: 9032201322 Enrollment ID: I20070816000153 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20071030000392 |
| Provider Name | Asdrubal Sepulveda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053520353 PECOS PAC ID: 2769570217 Enrollment ID: I20071116000038 |
| Provider Name | Lismarie Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164568234 PECOS PAC ID: 5597853085 Enrollment ID: I20071116000414 |
| Provider Name | Evon R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538355078 PECOS PAC ID: 7113016908 Enrollment ID: I20071201000048 |
| Provider Name | Yeny W Andrade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346253424 PECOS PAC ID: 9830257765 Enrollment ID: I20081022000318 |
| Provider Name | Waleska Galindez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619059847 PECOS PAC ID: 3274690052 Enrollment ID: I20090323000230 |
| Provider Name | Carlos A Bayona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457587420 PECOS PAC ID: 7719031145 Enrollment ID: I20090819000214 |
| Provider Name | Frank Aran-serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700031911 PECOS PAC ID: 5890849152 Enrollment ID: I20090820000585 |
| Provider Name | Merlyn S Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130246 PECOS PAC ID: 3870631534 Enrollment ID: I20091117000691 |
| Provider Name | Arnold W Fleischmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825808 PECOS PAC ID: 0244371730 Enrollment ID: I20100106000221 |
| Provider Name | Claribel Rodriguez-andujar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073731956 PECOS PAC ID: 0345372819 Enrollment ID: I20100719000701 |
| Provider Name | Evelyn G Villar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164754925 PECOS PAC ID: 9739373275 Enrollment ID: I20101028001480 |
| Provider Name | Soett Ramirez-estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942588025 PECOS PAC ID: 0941474787 Enrollment ID: I20111114000344 |
| Provider Name | Marina Garcia-fraga |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780786012 PECOS PAC ID: 4486674199 Enrollment ID: I20111208000770 |
| Provider Name | Ann Marie Raikes Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225385818 PECOS PAC ID: 5890943385 Enrollment ID: I20120906000602 |
| Provider Name | Carol M Espinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421894 PECOS PAC ID: 3577711167 Enrollment ID: I20120925000183 |
| Provider Name | Jamie Salcedo Varela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619167004 PECOS PAC ID: 7113092123 Enrollment ID: I20121030000329 |
| Provider Name | Amrita Mukherjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629342613 PECOS PAC ID: 0941445266 Enrollment ID: I20130314000242 |
| Provider Name | Johnnie Lee Byrd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710208491 PECOS PAC ID: 7315172566 Enrollment ID: I20131024001586 |
| Provider Name | Deanna Lynn Koenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538591888 PECOS PAC ID: 7012150972 Enrollment ID: I20140130000282 |
| Provider Name | Orlando Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699104265 PECOS PAC ID: 6800026568 Enrollment ID: I20140226000941 |
| Provider Name | Gusev Gonzalez Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104194463 PECOS PAC ID: 9739401092 Enrollment ID: I20141124001263 |
| Provider Name | Luis F Mendez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235261660 PECOS PAC ID: 2365537461 Enrollment ID: I20150115000510 |
| Provider Name | Anooja Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124423918 PECOS PAC ID: 5799009031 Enrollment ID: I20150115001425 |
| Provider Name | Isleda Porras Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275937187 PECOS PAC ID: 9133446586 Enrollment ID: I20150323001847 |
| Provider Name | Luis J Velazquez Vincente |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891945580 PECOS PAC ID: 0840479473 Enrollment ID: I20150429001248 |
| Provider Name | Fior Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114304508 PECOS PAC ID: 3971819749 Enrollment ID: I20150825004578 |
| Provider Name | Arelis Rodriguez Caban |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467566711 PECOS PAC ID: 1153326160 Enrollment ID: I20150827001429 |
| Provider Name | Maria Guzman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750564969 PECOS PAC ID: 3173832086 Enrollment ID: I20151210001630 |
| Provider Name | Mario Santiago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215998976 PECOS PAC ID: 4587684832 Enrollment ID: I20151218001780 |
| Provider Name | Julie A Bavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023481025 PECOS PAC ID: 5193021202 Enrollment ID: I20160315002006 |
| Provider Name | Guerson Bob Guerrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275945172 PECOS PAC ID: 7315244027 Enrollment ID: I20160323002664 |
| Provider Name | Niurka Emilia Del Sol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437561503 PECOS PAC ID: 9032418728 Enrollment ID: I20160502001067 |
| Provider Name | Deborah A Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154524379 PECOS PAC ID: 2668762121 Enrollment ID: I20160613000826 |
| Provider Name | Esau Laurencin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588075774 PECOS PAC ID: 4183845613 Enrollment ID: I20160617002002 |
| Provider Name | Victor A Marmolejos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225307085 PECOS PAC ID: 4183876899 Enrollment ID: I20160711001770 |
| Provider Name | Lisa Rene Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861861973 PECOS PAC ID: 8123311438 Enrollment ID: I20160725001641 |
| Provider Name | Jessica Maisonave |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194793927 PECOS PAC ID: 3971514043 Enrollment ID: I20160927002786 |
| Provider Name | Hector Yosue Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194827600 PECOS PAC ID: 0143508028 Enrollment ID: I20161027001153 |
| Provider Name | Yudelmy Castaneda Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630799 PECOS PAC ID: 6800175365 Enrollment ID: I20161128001780 |
| Provider Name | Nicole Anita Bridgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790227494 PECOS PAC ID: 4486935418 Enrollment ID: I20170105000061 |
| Provider Name | Astrid Rosa Velez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649584715 PECOS PAC ID: 9638335938 Enrollment ID: I20170106000378 |
| Provider Name | Ransky Max Allonce |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770991010 PECOS PAC ID: 6305123183 Enrollment ID: I20170503002748 |
| Provider Name | Jonnathan Soltero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068940 PECOS PAC ID: 9234404450 Enrollment ID: I20171013000831 |
| Provider Name | Lela Rose Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033376918 PECOS PAC ID: 8022287077 Enrollment ID: I20171130000716 |
| Provider Name | Jean Savio Estel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184963969 PECOS PAC ID: 9638317027 Enrollment ID: I20180212002839 |
| Provider Name | Gilbert Acevedo Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104845767 PECOS PAC ID: 2163658964 Enrollment ID: I20180319000370 |
| Provider Name | Carmen Milagros Cabrera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255310074 PECOS PAC ID: 1254300833 Enrollment ID: I20180518001815 |
| Provider Name | Jorge Luis Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497189971 PECOS PAC ID: 3375833031 Enrollment ID: I20180917001685 |
| Provider Name | David F Sanjuan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306270509 PECOS PAC ID: 8820229628 Enrollment ID: I20181004003048 |
| Provider Name | Rafael Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578990438 PECOS PAC ID: 7113216656 Enrollment ID: I20190204000527 |
| Provider Name | Rosario Tucci |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598131708 PECOS PAC ID: 0547590416 Enrollment ID: I20190919003273 |
| Provider Name | Christos C Christolias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728051 PECOS PAC ID: 0446526057 Enrollment ID: I20191028001226 |
| Provider Name | Ana Maria Class |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923179 PECOS PAC ID: 5597197004 Enrollment ID: I20191120003022 |
| Provider Name | Patricia Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285278523 PECOS PAC ID: 5991130775 Enrollment ID: I20200124001989 |
| Provider Name | Alexsandra Santos King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407388028 PECOS PAC ID: 6800226473 Enrollment ID: I20200422001369 |
| Provider Name | Paola Ninoska Cruz Chery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629452719 PECOS PAC ID: 1355691502 Enrollment ID: I20200427001599 |
| Provider Name | Muhammad Sohel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992233837 PECOS PAC ID: 5496028979 Enrollment ID: I20200619000256 |
| Provider Name | Syed M Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700313806 PECOS PAC ID: 8820411515 Enrollment ID: I20200714002132 |
| Provider Name | Rocio D Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285080887 PECOS PAC ID: 3779865902 Enrollment ID: I20200810002338 |
| Provider Name | Francisco Steven Rodriguez Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306324728 PECOS PAC ID: 0143642132 Enrollment ID: I20201022000200 |
| Provider Name | Jackeline Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073174496 PECOS PAC ID: 6305278060 Enrollment ID: I20201130000353 |
| Provider Name | Yamila Gomez Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801490206 PECOS PAC ID: 4880009224 Enrollment ID: I20210217003011 |
| Provider Name | Lucy L Ortiz Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295938041 PECOS PAC ID: 2668668237 Enrollment ID: I20210310000926 |
| Provider Name | Manuel Morillo Menendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194215756 PECOS PAC ID: 3971911330 Enrollment ID: I20210423000762 |
| Provider Name | Juliana Llano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831311 PECOS PAC ID: 1355561069 Enrollment ID: I20210802002682 |
| Provider Name | Mauricio Berrio Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063891893 PECOS PAC ID: 8729349782 Enrollment ID: I20210816001549 |
| Provider Name | Emily Lissette Leon-rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285187823 PECOS PAC ID: 3274930649 Enrollment ID: I20210928001182 |
| Provider Name | Stella Heredia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902475288 PECOS PAC ID: 1951790211 Enrollment ID: I20211109000124 |
| Provider Name | Hector Ruben Vazquez Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992305197 PECOS PAC ID: 9830503267 Enrollment ID: I20211222000283 |
| Provider Name | Mariam Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789201 PECOS PAC ID: 2365835600 Enrollment ID: I20220208002960 |
| Provider Name | Vianis Bravo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518498880 PECOS PAC ID: 9032488770 Enrollment ID: I20220330001506 |
| Provider Name | Abraham A Dominguez-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497402440 PECOS PAC ID: 7810383395 Enrollment ID: I20220409000274 |
| Provider Name | Jared Hunter West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467608877 PECOS PAC ID: 2466830807 Enrollment ID: I20220526000142 |
| Provider Name | Mary M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902992498 PECOS PAC ID: 4284641895 Enrollment ID: I20220607001332 |
| Provider Name | David Ellens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780785402 PECOS PAC ID: 5698782274 Enrollment ID: I20220818002026 |
| Provider Name | Jorge Luis Santos Alba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851822332 PECOS PAC ID: 0840675278 Enrollment ID: I20220921000127 |
| Provider Name | Frederied Rivera Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174104582 PECOS PAC ID: 3476929613 Enrollment ID: I20221013001015 |
| Provider Name | Luis Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245979160 PECOS PAC ID: 9638545429 Enrollment ID: I20221019001895 |
| Provider Name | William Suarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780636605 PECOS PAC ID: 8527136332 Enrollment ID: I20221101000675 |
| Provider Name | Yoel Olazabal Pupo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215390711 PECOS PAC ID: 8628400561 Enrollment ID: I20221122003699 |
| Provider Name | Yamil Alberto Carlo Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588270748 PECOS PAC ID: 9931570249 Enrollment ID: I20230125000387 |
| Provider Name | Michelle Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669935417 PECOS PAC ID: 0244607133 Enrollment ID: I20230726001418 |
| Provider Name | Jeree Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780348441 PECOS PAC ID: 7810341187 Enrollment ID: I20230921000500 |
| Provider Name | Jorge Enrique Justicia Ferrer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073137857 PECOS PAC ID: 3274993167 Enrollment ID: I20231113003706 |
| Provider Name | Evelyn Rebecca Melgar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154190742 PECOS PAC ID: 5991158222 Enrollment ID: I20240201004580 |
| Provider Name | Hillary Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114781929 PECOS PAC ID: 6406292838 Enrollment ID: I20240307003722 |
| Provider Name | Ygdalia Del Valle Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891552485 PECOS PAC ID: 5294173944 Enrollment ID: I20240401002694 |
| Provider Name | Damarys Mustelier-cedeno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053936229 PECOS PAC ID: 6709224330 Enrollment ID: I20240402002615 |
| Provider Name | Josselin Vachon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487158325 PECOS PAC ID: 9234488925 Enrollment ID: I20240820000624 |
| Provider Name | Elffy Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023694130 PECOS PAC ID: 4284165184 Enrollment ID: I20241002003377 |
| Provider Name | Sharon Denise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174111405 PECOS PAC ID: 7810427580 Enrollment ID: I20250211000329 |
| Provider Name | Courtney Baisden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043808595 PECOS PAC ID: 9830599489 Enrollment ID: I20250604003783 |
Instant Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Sandlake Commons Blvd Ste 227, Orlando, FL 32819 Phone: 407-426-4099 Fax: 407-809-5243 | |
Orlando Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Colonial Dr Ste 303, Orlando, FL 32804 Phone: 321-332-6947 Fax: 407-286-4515 | |
The Concierge Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8976 Conroy Windermere Rd, Orlando, FL 32835 Phone: 321-848-4986 | |
Spartan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
Family Medical Group Orlando Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7824 Lake Underhill Rd Ste I, Orlando, FL 32822 Phone: 407-601-1210 | |
Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Sandlake Commons Blvd, Suite 1102, Orlando, FL 32819 Phone: 407-355-7478 Fax: 407-354-2431 |