NPI 1336721620

Centerwell Senior Primary Care La PC

Organisation Internal Medicine Physician Denham Springs, LA

Practice location

Address: 2314 S Range Ave, Denham Springs, LA 70726-5216
Phone: (225) 480-4080
Fax: (877) 485-4275
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 Louisiana →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Louisiana →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Louisiana →

Registry record

NPI: 1336721620
Entity type: Organization
NPI issued: 26 Apr 2021
Record last updated: 22 Aug 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.