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
Phone: (407) 834-4849
Fax: (407) 834-4905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Florida | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Florida | |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801002183 | NPPES |
| Florida | MEDICAID | 025017707 |
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