Active NPI
Wellhaven Health Services Inc
- Community Health Clinic/Center
- Orlando, FL
National Provider Identifier
1407641582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- WELLHAVEN HEALTH SERVICES INC
- Practice address
- 719 Waltham Ave
Orlando, FL 32809-4207 - Phone
- (407) 870-3434
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nestor Fonseca
- Title
- Administrator
- Phone
- (305) 298-2123
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
719 Waltham Ave
Orlando, FL 32809-4207
Mailing address
274 Wilshire Blvd Ste 277
Casselberry, FL 32707-5368
National Provider Directory
National Provider DirectoryLocations
274 Wilshire Blvd
Ste 277
Casselberry, FL 32707
719 Waltham Ave
Orlando, FL 32809
Phone (407) 870-3434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1407641582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 WILSHIRE BLVD STE 277",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 WALTHAM AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094207",
"telephone_number": "407-870-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLHAVEN HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "FONSECA",
"authorized_official_first_name": "NESTOR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-298-2123"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.