NPIMap

Individual provider Active NPI

Wilfredo Corredera, M.D.

  • Family Medicine Physician
  • Lake Placid, FL
National Provider Identifier
1891743365
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME63543 Issued in FL
Practice address
113 Health Way
Lake Placid, FL 33852-4716
Phone
(634) 657-0108
Fax
(863) 465-4223
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME63543 FL Primary

Addresses

Primary practice location

113 Health Way
Lake Placid, FL 33852-4716

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

3420 US Highway 27 N
Sebring, FL 33870-1637
Phone (863) 385-7077

Other identifiers 2

IdentifierTypeStateIssuer
18577OtherFLBLUE CROSS
372499900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001069 FL Practitioner - Family Practice 3870548316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLC 976 clinicians

Practice addresses (Care Compare)

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

316 W Interlake Blvd
Lake Placid, FL 33852-9653
Phone (863) 465-7636

3420 US Hwy 27 N
Sebring, FL 33870-1637
Phone (863) 365-7077

Hospital & facility affiliations

  • Florida Home Health Home health agency, Bradenton, FL, CCN 108049
  • Adventhealth Home Health Home health agency, Sebring, FL, CCN 107345
  • Palms Home Care Home health agency, Sebring, FL, CCN 108305
  • Centerwell Home Health Home health agency, Winter Haven, FL, CCN 107534
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 2, 2025 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 2, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

113 Health Way
Lake Placid, FL 33852
Phone (863) 465-7010

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3420 US 27 N
Sebring, FL 33870
Phone (863) 365-7077

Interoperability endpoints

  • Direct secure messaging: wilfredo.corredera.1@4290.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Medical Group PASebring, FL, CCN 103884 Rural health clinic 5% Or Greater Direct Ownership Interest
General Partnership Interest
Corporate Director		 Jan 1, 2005
Aug 28, 2010
Jan 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Family Medical Group PA
    • Family Medicine Physician
    • Lake Placid, FL
    • NPI 1215099007

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership

Organizations & group practices 4

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

Hospital & facility affiliations 11

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1891743365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HEALTH WAY",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338524716",
            "telephone_number": "634-657-0108",
            "fax_number": "863-465-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701637",
            "country_code": "US",
            "telephone_number": "863-385-7077",
            "fax_number": "863-385-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREDERA",
        "first_name": "WILFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "18577",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372499900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

Verify at the official NPI Registry.