Centerwell Senior Primary Care Fl Jv Pllc
NPI #1104653310 in Jacksonville, Florida
Provider Information
- NPI Number
- 1104653310
- 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
- Dec 10, 2024
Practice Location
- Address
- 10991 SAN JOSE BLVD # 100
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32223-6675
- Phone
- (904) 839-1037
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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