# PROMEDICA CENTRAL PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sylvania Adult and Pediatric Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538203658
- **Authorized official:** KENYA DIXON (CREDENTIALING ASSISTANT)
- **Authorized official phone:** (419) 824-7288

## Contact information

- **Practice address:** 7140 PORT SYLVANIA DR, SUITE 420, TOLEDO, OH 43617-1176
- **Practice address phone:** (419) 843-8145
- **Practice address fax:** (419) 841-7735
- **Mailing address:** 7140 PORT SYLVANIA DR, SUITE 420, TOLEDO, OH 43617-1176
- **Mailing address phone:** (419) 843-8145
- **Mailing address fax:** (419) 841-7735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020