Individual provider Active NPI

Vladimir Vladimirovich Senatorov Sr., M.D., PH.D.

  • General Practice Physician
  • Avon Park, FL
National Provider Identifier
1679881809
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME123567 Issued in FL
Practice address
950 County Road 17a W
Avon Park, FL 33825-2164
Phone
(866) 234-8534
Fax
(863) 452-3001
NPI assigned
Sep 22, 2010
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME123567 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME123567 FL
General Practice Physician 208D00000X ME123567 FL Primary

Addresses

Primary practice location

950 County Road 17a W
Avon Park, FL 33825-2164

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (863) 452-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002225 FL Practitioner - Preventive Medicine 9739495367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Pennsylvania State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Health Care IncGroup PAC ID 0143127951, 33 clinicians

Practice addresses (Care Compare)

109 W Wall St
Frostproof, FL 33843-2043
Phone (866) 234-8534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME123567FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc. General Practice CurrentSince Aug 10, 2015 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Tricounty Health LLC Internal Medicine CurrentSince Jun 14, 2021 Accepting new patients
Central Florida Health Care, Inc CurrentSince Aug 10, 2015 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

916 Dundee Rd
Dundee, FL 33838
Phone (863) 419-3330

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

903 Lowry Ave
Lakeland, FL 33801

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 291-5117

17190 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 268-0003

807 Cobb Ct
Wauchula, FL 33873

4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

244 Avenue D SW
Winter Haven, FL 33880
Phone (662) 348-5348

47 5th St NW
Winter Haven, FL 33881

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGBD
  • Direct secure messaging: vladimir.senatorov.1@12125.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1679881809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "863-452-3012",
            "fax_number": "863-291-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "866-234-8534",
            "fax_number": "863-452-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENATOROV",
        "first_name": "VLADIMIR",
        "middle_name": "VLADIMIROVICH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123567",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME123567",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME123567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.