Centerwell Senior Primary Care Vitality INC

NPI #1154293108 in The Villages, Florida

Provider Information

NPI Number
1154293108
Entity Type
Organization
Organization Name
Centerwell Senior Primary Care Vitality INC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTERWELL SENIOR PRIMARY CARE VITALITY INC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 19, 2025
Last Updated
Sep 19, 2025

Practice Location

Address
779 KRISTINE WAY
State
Florida
ZIP Code
32163-0099
Phone
(352) 674-6020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Practice
Family Medicine
Internal Medicine

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