| NPI | 1326868878 |
|---|---|
| Doing Business As | CENTERWELL SENIOR PRIMARY CARE - VICTORY HEIGHTS |
| 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 |
| 208D00000X General Practice | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-01-24 |