| Centerwell Senior Primary Care (fl) Inc. | |
|
911 N Central Ave Kissimmee FL 34741-5029 | |
| (407) 933-2690 | |
| (321) 281-8772 |
| Full Name | Centerwell Senior Primary Care (fl) Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 911 N Central Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (fl) Inc. 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care (fl) Inc. 911 N Central Ave Kissimmee FL 34741-5029 Ph: (407) 933-2690 |
| NPI Number | 1215269311 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215269311 | NPI | - | NPPES |
| 025017703 | Medicaid | FL |
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