Organization Active NPI

Wellhaven Health Services Inc

  • Community Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1407641582
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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

Updated by the provider on Sep 8, 2025

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.