Organization
CENTERWELL SENIOR PRIMARY CARE NC JV PC
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE NC JV PC
Other names
CenterWell Senior Primary Care- Parkway Plaza, CenterWell Senior Primary Care NC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE NC JV PC
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
4201 UNIVERSITY DR STE 101, DURHAM, NC 27707-2533
(984) 283-1722
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
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/07/2022
Last updated
01/09/2023
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