Centerwell Senior Primary Care- Outer Loop | |
4521 Outer Loop Louisville KY 40219-3856 | |
(502) 653-5206 | |
(877) 688-0102 |
Full Name | Centerwell Senior Primary Care- Outer Loop |
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Speciality | Internal Medicine |
Location | 4521 Outer Loop, Louisville, Kentucky |
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 |
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Centerwell Senior Primary Care- Outer Loop 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care- Outer Loop 4521 Outer Loop Louisville KY 40219-3856 Ph: (502) 653-5206 |
NPI Number | 1649919317 |
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Provider Enumeration Date | 06/01/2022 |
Last Update Date | 08/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649919317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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