NPI 1073340295

Centerwell Senior Primary Care Fl Jv PLLC

Organisation Internal Medicine Physician New Port Richey, FL

Practice location

Address: 8901 State Road 54, New Port Richey, FL 34655-3006
Phone: (407) 447-7120
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Florida →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Florida →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Florida →

Registry record

NPI: 1073340295
Entity type: Organization
NPI issued: 19 Sep 2024
Record last updated: 19 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.