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Organization

CENTERWELL SENIOR PRIMARY CARE (NC) PC

Active
Other names
Partners in Primary Care (NC) 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 BLVD STE 650, ORLANDO, FL 32839-6013
(407) 447-7120
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
261Q00000X
Clinic/Center
NC

Other

Enumeration date
07/05/2017
Last updated
07/03/2024
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