OrganizationActive
Kersenbrock Medical and Wellness, LLC
NPI 1154816510 · General Practice Physician · Lake Mary, FL
Provider details
- NPI number
- 1154816510
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Kersenbrock, Owner(407) 732-6920
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
760 Currency Cir Ste a
Lake Mary, FL 32746-2138
Phone: (407) 732-6920
Fax: (407) 732-6923
Street-level locationGet directions
Mailing address
760 Currency Cir Ste a
Lake Mary, FL 32746-2138
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2018-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.