Organization Active NPI

Primary Care and Wellness Centers of CFL

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1760203566
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE AND WELLNESS CENTERS OF CFL
Practice address
11309 Lake Underhill Rd Ste 104
Orlando, FL 32825-4427
Phone
(850) 765-6686
Fax
(877) 450-4723
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. William Frederick Von Bargen Jr., DONPI 1851335038
Title
Physician
Phone
(407) 450-6991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11309 Lake Underhill Rd Ste 104
Orlando, FL 32825-4427

Mailing address

1008 Juliette Blvd
Mount Dora, FL 32757-6500
Phone (407) 450-6991

National Provider Directory

National Provider Directory

Locations

11309 Lake Underhill Rd
Ste 104
Orlando, FL 32825
Phone (850) 765-6686

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1760203566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 JULIETTE BLVD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576500",
            "telephone_number": "407-450-6991",
            "fax_number": "877-450-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 LAKE UNDERHILL RD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254427",
            "telephone_number": "850-765-6686",
            "fax_number": "877-450-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND WELLNESS CENTERS OF CFL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "VON BARGEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-450-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Oct 23, 2024; 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.