NPIMap

Organization Active NPI

Centerwell Senior Primary Care FL Inc

Doing business as CenterWell Senior Primary Care of Hoffner

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1487686705
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTERWELL SENIOR PRIMARY CARE FL INC
Doing business as
CenterWell Senior Primary Care of Hoffner
Practice address
5997 S Goldenrod Rd
Orlando, FL 32822-8775
Phone
(407) 856-1900
NPI assigned
Jul 7, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERWELL SENIOR PRIMARY CARE FL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Angie Martinez
Title
Senior Credentialing Professional
Phone
(407) 447-7120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FL
Internal Medicine Physician 207R00000X FL Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

5997 S Goldenrod Rd
Orlando, FL 32822-8775

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
025017709MedicaidFL

Other names 2

  • CenterWell Senior Primary Care of Hoffner Doing business as
  • Family Physicians of Hoffner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001657 FL Part B Supplier - Clinic/Group Practice 9830184738 Receives reassigned benefits from 135 practitioners
31 other NPIs on this enrollment
Practice locations: Altamonte Springs, FL; Winter Park, FL; The Villages, FL; Saint Cloud, FL; Oviedo, FL; Orlando, FL; Longwood, FL; Leesburg, FL…

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0677532Centerwell Senior Primary Care (FL) Inc5997 S Goldenrod, Orlando, FL 32822Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Physicians of Winter Park28 organizations share this tax ID, including this one
Part of
Family Physicians of Winter Park

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1487686705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5997 S GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228775",
            "telephone_number": "407-856-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL SENIOR PRIMARY CARE FL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERWELL SENIOR PRIMARY CARE FL INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING PROFESSIONAL",
        "authorized_official_telephone_number": "407-447-7120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025017709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Senior Primary Care of Hoffner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Physicians of Hoffner",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Physicians of Hoffner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.