NPIMap

Organization Active NPI

Centerwell Senior Primary Care (FL) Inc.

Doing business as CenterWell Senior Primary Care of Soldier City

  • Internal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1831083187
Registry record updated Jun 3, 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 Soldier City
Practice address
3505 Progress LN
Saint Cloud, FL 34769-6519
Phone
(855) 226-6633
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERWELL SENIOR PRIMARY CARE (FL) INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Megan Galvan
Title
Credentialing Manager
Phone
(305) 500-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3505 Progress LN
Saint Cloud, FL 34769-6519

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other names 1

  • CenterWell Senior Primary Care of Soldier City Doing business as

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
This NPI is an additional NPI on the 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

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

Locations

1033 Plaza Dr
Kissimmee, FL 34743
Phone (407) 348-7166

323 W Oak St
Kissimmee, FL 34741
Phone (321) 402-0217

505 W Oak St
Ste 102
Kissimmee, FL 34741
Phone (407) 483-7777

10829 Dylan Loren Cir
Orlando, FL 32825
Phone (407) 273-7373

10945 Dylan Loren Cir
Ste 7
Orlando, FL 32825
Phone (407) 380-5047

14075 Town Loop Blvd
Orlando, FL 32837
Phone (407) 438-5858

14501 Gatorland Dr
Orlando, FL 32837
Phone (407) 859-1699

2285 S Semoran Blvd
Orlando, FL 32822
Phone (407) 282-8200

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

3333 Conway Rd
Orlando, FL 32812
Phone (321) 281-1000

5454 Central Florida Pkwy
Orlando, FL 32821
Phone (407) 447-4283

5554 Clarcona Ocoee Rd
Orlando, FL 32810
Phone (407) 292-0292

1000 W Broadway St
Ste 102B
Oviedo, FL 32765
Phone (407) 365-9000

2191 9th Ave N
Ste 100
St Petersburg, FL 33713
Phone (727) 321-7001

4710 N Habana Ave
Ste 105
Tampa, FL 33614
Phone (813) 870-3767

910 Old Camp Rd
Ste 192
The Villages, FL 32162
Phone (352) 430-2720

2090 Havendale Blvd NW
Winter Haven, FL 33881
Phone (863) 297-5801

255 N Lakemont Ave
Ste 101
Winter Park, FL 32792
Phone (407) 647-6070

Practitioners & affiliated clinicians

Practitioners 121

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 121

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1831083187",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 PROGRESS LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696519",
            "telephone_number": "855-226-6633"
        }
    ],
    "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": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Senior Primary Care of Soldier City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.