NPI | 1306469788 |
---|---|
Doing Business As | CENTERWELL SENIOR PRIMARY CARE-SOUTH NELLIS |
Former Legal Business Name | PARTNERS IN PRIMARY CARE NV PC |
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 |
208D00000X General Practice | |
207Q00000X Family Medicine | |
Enumeration Date | 2020-05-20 |
Last Update Date | 2024-02-15 |