Centerwell Senior Primary Care Fl Jv Pllc

NPI #1003646308 in Miami, Florida

Provider Information

NPI Number: 1003646308
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Fl Jv Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 2, 2024
Last Updated: Aug 2, 2024

Practice Location

Address: 6101 BLUE LAGOON DR STE 200
City: Miami
State: Florida
ZIP Code: 33126-3168
Phone: (407) 447-7120

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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