Active NPI
Vladimir Vladimirovich Senatorov Sr., M.D., PH.D.
- General Practice Physician
- Avon Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME123567
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME123567 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc. | General Practice | Current | Accepting new patients |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Tricounty Health LLC | Internal Medicine | Current | Accepting new patients |
| Central Florida Health Care, Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/EDJGBD
- 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.
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Internal Medicine Physician
- Wildwood, FL
- NPI 1619435179
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
dba Central Florida Health Care - Avon Park
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1063409290
General Practice
-
dba Central Florida Health Care - Winter Haven Center
- Federally Qualified Health Center (FQHC)
- Winter Haven, FL
- NPI 1467752998
-
dba Central Florida Health Care-Wauchula
- Multi-Specialty Clinic/Center
- Wauchula, FL
- NPI 1811156672
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1407615826
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1831232669
-
dba Central Florida Health Care - Dundee
- Federally Qualified Health Center (FQHC)
- Dundee, FL
- NPI 1063408813
-
dba Central Florida Health Care-Lakeland Primary Care
- Federally Qualified Health Center (FQHC)
- Lakeland, FL
- NPI 1386835064
-
dba Central Florida Health Care - Dundee
- Multi-Specialty Clinic/Center
- Dundee, FL
- NPI 1720247588
-
dba Central Florida Health Care, Inc. - Hardee
- Federally Qualified Health Center (FQHC)
- Wauchula, FL
- NPI 1790116911
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Home Health Agency
- Bradenton, FL
- NPI 1578252615
-
dba HCA Florida Highlands Hospital
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.