OrganizationActive
Centrum Medical Group of North Carolina PLLC
NPI 1063154375 · General Practice Physician · Charlotte, NC
Provider details
- NPI number
- 1063154375
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Graciela Victorero, Coo(305) 266-2929
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10320 Mallard Creek Rd Ste 180
Charlotte, NC 28262-5204
Phone: (305) 266-2929
Approximate (ZIP-level) locationGet directions
Mailing address
9250 Nw 36th St Ste 420
Doral, FL 33178-2775
Registry dates
- Enumerated
- 2022-04-08
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.