Organization
CENTERWELL SENIOR PRIMARY CARE (LA) PC
Active
Other names
Partners in Primary Care LA PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
4700 MILLENIA LAKES BLVD., ORLANDO, FL 32839-7823
(407) 447-7120
(407) 770-0661
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
05/20/2020
Last updated
08/22/2024
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