Centerwell Senior Primary Care Fl Jv Pllc

NPI #1073340295 in New Port Richey, Florida

Provider Information

NPI Number: 1073340295
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Fl Jv Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE FL JV PLLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 19, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 8901 STATE ROAD 54
City: New Port Richey
State: Florida
ZIP Code: 34655-3006
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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