| Centerwell Senior Primary Care Va Pllc | |
|
1817 Frederick Blvd Portsmouth VA 23707 | |
| (757) 695-5181 | |
| (877) 976-4063 |
| Full Name | Centerwell Senior Primary Care Va Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1817 Frederick Blvd, Portsmouth, Virginia |
| 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 Va Pllc 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care Va Pllc 1817 Frederick Blvd Portsmouth VA 23707 Ph: (757) 695-5181 |
| NPI Number | 1831963842 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831963842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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