| Centerwell Senior Primary Care (la) Pc | |
|
6404 Groom Rd Baker LA 70714-4364 | |
| (225) 614-9065 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care (la) Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6404 Groom Rd, Baker, Louisiana |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (la) Pc 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care (la) Pc 6404 Groom Rd Baker LA 70714-4364 Ph: (225) 614-9065 |
| NPI Number | 1962276956 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962276956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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