NPI | 1457090037 |
---|---|
Doing Business As | CENTERWELL SENIOR PRIMARY CARE -WENDOVER |
Former Legal Business Name | CENTERWELL SENIOR PRIMARY CARE NC PC |
Entity Type | Organization |
Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208D00000X General Practice |
207Q00000X Family Medicine | |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-08-11 |