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Organization

CENTERWELL SENIOR PRIMARY CARE AZ CS PC

Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE AZ CS PC
Other names
CenterWell Senior Primary Care-TerraCita
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE AZ CS PC
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization

Contact information

Practice address
9515 W CAMELBACK RD STE 116, PHOENIX, AZ 85037-1365
(602) 428-6915
(561) 282-3238
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(407) 447-7120
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
208D00000X
General Practice Physician

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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