Organization
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Active
Other names
Medical & Geriatric Associates, Family Physicians of Winter Park, Inc., CenterWell Senior Primary Care of Medical & Geriatrics Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
911 N CENTRAL AVE, KISSIMMEE, FL 34741-5029
(407) 933-2690
(321) 281-8772
Mailing address
4700 MILLENIA BLVD STE 650, ORLANDO, FL 32839-6013
(407) 447-7120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
FL
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025017703
—
FL
Enumeration date
02/01/2010
Last updated
05/10/2024
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