Centerwell Senior Primary Care (fl) Inc. | |
14075 Town Loop Blvd Orlando FL 32837-6132 | |
(407) 438-5858 | |
(407) 438-7172 |
Full Name | Centerwell Senior Primary Care (fl) Inc. |
---|---|
Speciality | Internal Medicine |
Location | 14075 Town Loop Blvd, Orlando, 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 |
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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. 14075 Town Loop Blvd Orlando FL 32837-6132 Ph: (407) 438-5858 |
NPI Number | 1982634796 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 05/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982634796 | NPI | - | NPPES |
025017718 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Secondary |
207R00000X | Internal Medicine | (Florida) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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