| Centerwell Senior Primary Care Vitality Inc | |
|
779 Kristine Way The Villages FL 32163-0099 | |
| (352) 674-6020 | |
| (352) 674-6030 |
| Full Name | Centerwell Senior Primary Care Vitality Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 779 Kristine Way, The Villages, Florida |
| 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 Vitality Inc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | Centerwell Senior Primary Care Vitality Inc 779 Kristine Way The Villages FL 32163-0099 Ph: (352) 674-6020 |
| NPI Number | 1154293108 |
|---|---|
| Provider Enumeration Date | 09/19/2025 |
| Last Update Date | 09/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154293108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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