Centerwell Senior Primary Care (Fl) INC.
Internal Medicine in Longwood, FL. Organization (NPI-2).
NPI number1801002183
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1801002183
- Entity type
- Organization (NPI-2)
- Legal business name
- Centerwell Senior Primary Care (Fl) INC.
- Organization subpart
- Yes
- Enumeration date
- May 15, 2007
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | FL | Yes |
| 207Q00000X | Family Medicine | – | FL | |
| 208D00000X | General Practice | – | – |
Other names
- Family Physicians Of Longwood (Other Name)
- Centerwell Senior Primary Care Of Longwood (Doing Business As)
- Family Physicians Of Winter Park, INC (Former Legal Business Name)
Practice location
485 S Ronald Reagan BlvdLongwood, FL 32750-5408
Phone 407-834-4849 · Fax 407-834-4905
Mailing address
4700 Millenia Blvd Ste 650Orlando, FL 32839-6013
Phone 407-447-7120
Authorized official
Angie Martinez
Senior Credentialing Professional
4074477120
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