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Organization

CENTERWELL SENIOR PRIMARY CARE LA PC

Active
Other names
CenterWell Senior Primary Care- Denham Springs
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization

Contact information

Practice address
2314 S RANGE AVE, DENHAM SPRINGS, LA 70726-5216
(225) 480-4080
(877) 485-4275
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
04/26/2021
Last updated
08/22/2024
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