Centerwell Senior Primary Care Of Longwood

LBN: Centerwell Senior Primary Care (Fl) Inc.
Centerwell Senior Primary Care Of Longwood is an health care organization with primary practice located at 485 S Ronald Reagan Blvd , Longwood FL 32750-5408. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Centerwell Senior Primary Care (Fl) Inc. can be contacted via phone (407) 834-4849, or through Martinez, Angie via phone (407) 447-7120.

Contact Information

Primary practice address
485 S Ronald Reagan Blvd Longwood FL 32750-5408
Fax: (407) 834-4905
Website:
Authorized official contact:
Name: Martinez, Angie

Profile Details

NPI number 1801002183
LBN Legal business name Centerwell Senior Primary Care (Fl) Inc.
DBA Doing business as Centerwell Senior Primary Care Of Longwood
Authorized official Martinez, Angie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 15th, 2007
Last updated May 10th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801002183 NPPES
Florida MEDICAID 025017707

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