NPI | 1134908296 |
---|---|
Doing Business As | CENTERWELL SENIOR PRIMARY CARE- ANTHEM |
Entity Type | Organization |
Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
207Q00000X Family Medicine | |
208D00000X General Practice | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2024-02-15 |