Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Center for Individualized Medicine and Age Management, Inc

Organization Family Medicine Physician · NPI 1447689203

Center for Individualized Medicine and Age Management, Inc provides Family Medicine Physician services in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4463 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 273-7399
Fax: (407) 273-1928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME55637 (FL)

Record details

NPI number1447689203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mildred Donis-Rivera — Osner/President · (407) 273-7399
Other names Cima
NPI enumeratedNovember 2, 2013
Last updated in NPPESNovember 2, 2013
Mailing address11616 Lake Underhill Rd, Ste 205, Orlando, FL 32825-4463

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