Organization · NPI-2

Centerwell Senior Primary Care Az PC

Internal Medicine · Sun City, AZ

NPI number1003563396

StatusActive

Last updated in NPPESOct 31, 2022

Details

NPI: 1003563396
Entity type: Organization (NPI-2)
Legal business name: Centerwell Senior Primary Care Az PC
Organization subpart: Yes
Enumeration date: Mar 7, 2022
Certification date: Oct 31, 2022
Last updated: Oct 31, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207Q00000X	Family Medicine	–	–
208D00000X	General Practice	–	–

Other names

Centerwell Senior Primary Care-Sun City (Doing Business As)

Practice location

14813 N Del Webb Blvd
Sun City, AZ 85351-2145

Phone 602-834-5435 · Fax 877-536-8313

Mailing address

4700 Millenia Blvd Ste 650
Orlando, FL 32839-6013

Phone 407-447-7120

Authorized official

Angie Martinez
Senior Credentialing Professional
4074477120

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