| NPI | 1952121451 | 
|---|---|
| Doing Business As | CENTERWELL SENIOR PRIMARY CARE (NC), P.C. - EASTON | 
| 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 |