Organization
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Other names
Family Physicians of Winter Park, Inc, CenterWell Senior Primary Care of Pine Hills, Family Physicians of Pine Hills, CenterWell Senior Primary Care of West Orange
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
7649 W COLONIAL DR STE 115, ORLANDO, FL 32818-7423
(407) 522-2080
(833) 963-0115
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025017721
—
FL
Enumeration date
09/20/2019
Last updated
05/10/2024
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