Organization
CENTERWELL SENIOR PRIMARY CARE MS PC
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE MS PC
Other names
CenterWell Senior Primary Care-Gulfport
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE MS PC
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
12057 HIGHWAY 49 STE C, GULFPORT, MS 39503-3177
(228) 832-9385
(877) 504-6444
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/21/2022
Last updated
07/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us