Pentus Health Primary Care Winter Springs LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PENTUS HEALTH PRIMARY CARE WINTER SPRINGS LLC

Practice address

263 Winding Hollow Blvd
Winter Springs, FL 32708-4035

Phone

(844) 973-6887

NPI assigned

May 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Reyes

Title

Chief Operating Officer

Phone

(407) 756-3474

Specialties & licenses 1

Addresses

Other names 1

• Pentus Health Primary Care Winter Springs LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Paullin, ARNP

  • Adult Health Nurse Practitioner
  • Tavares, FL
  • NPI 1669973020
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1033909056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WINDING HOLLOW BLVD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084035",
            "telephone_number": "407-756-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 WINDING HOLLOW BLVD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084035",
            "telephone_number": "844-973-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTUS HEALTH PRIMARY CARE WINTER SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-756-3474"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pentus Health Primary Care Winter Springs LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pentus Health Primary Care Winter Springs LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brittany Rae Pavlovic, COTA/L
• Pearl K Burns DDS PA
• Christopher Albert Pearsall, DC
• April R Pence, MA, LMHC
• Elizabeth Renee Pennock, LMHC
• Nikisha Peterson, CF-SLP
• Maryann Phan
• Physician Associates LLC
• Tamari Piombino
• Nancy Poe

• Family Medicine Physician in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.