NPI | 1053029488 |
---|---|
Doing Business As | CENTERWELL SENIOR PRIMARY CARE-GREEN VALLEY |
Entity Type | Organization |
Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207RI0011X Internal Medicine, Interventional Cardiology | |
208D00000X General Practice | |
Enumeration Date | 2022-11-15 |
Last Update Date | 2024-07-03 |