CENTERWELL SENIOR PRIMARY CARE (LA) PC

BOSSIER CITY, LA
NPI1760005136
Entity TypeOrganization
Authorized ContactANGIE MARTINEZ
Senior Credentialing Professional
407-447-7120
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
208D00000X General Practice
Enumeration Date2020-05-20
Last Update Date2022-11-07
Business Address
CENTERWELL SENIOR PRIMARY CARE (LA) PC
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111-3275
Phone number: 318-606-6737
Mailing Address
CENTERWELL SENIOR PRIMARY CARE (LA) PC
4700 MILLENIA BLVD STE 650
ORLANDO, FL 32839-6013
Phone number: 407-447-7120
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