Centerwell Senior Primary Care (fl) Inc.

NPI #1013086958 in Leesburg, Florida

Provider Information

NPI Number: 1013086958
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care (fl) Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2006
Last Updated: May 10, 2024

Practice Location

Address: 941 N 14TH ST
City: Leesburg
State: Florida
ZIP Code: 34748-3838
Phone: (352) 326-4031

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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