| Centerwell Senior Primary Care Va Cs Pc | |
|
7525 Tidewater Dr Ste 19 Norfolk VA 23505-3700 | |
| (757) 330-0150 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care Va Cs Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7525 Tidewater Dr Ste 19, Norfolk, Virginia |
| Authorized Official Name and Position | Angie S 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 Va Cs Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | Centerwell Senior Primary Care Va Cs Pc 7525 Tidewater Dr Ste 19 Norfolk VA 23505-3700 Ph: (757) 330-0150 |
| NPI Number | 1518752054 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518752054 | 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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