In a Horizon West subdivision there is often no incumbent practice to outrank
Community-level search terms in the newer parts of Orange and Osceola counties are frequently unclaimed, which is unusual and will not stay true.
Most local SEO advice is written for markets where four established practices already own every obvious phrase. Large parts of Horizon West, Winter Garden and the Osceola corridor are not that market yet. Nobody has written the page, so the page you write is the page that exists.
Pick two or three communities you serve rather than every name on a map. Open your practice management software, sort new patients by address from the last year, and let that list decide. Guessing produces pages for places nobody drives from.
Each community page needs actual substance: which providers see patients from there, real hours, what the drive is like, which plaza you are in, what you treat and what you refer out. A page that only repeats a subdivision name eight times is a doorway page, and it will be treated like one.
Being first into an unclaimed term is a timing advantage, not a permanent one. New practices open in these plazas constantly. Nobody can promise you a position, so treat early coverage as a head start you then have to defend.