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Centerwell Senior Primary Care (la) PC — NPI 1962276956, Baker, LA | NPI Central

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NPI 1962276956

OrganizationActive

Centerwell Senior Primary Care (la) PC

NPI 1962276956 · Internal Medicine Physician · Baker, LA

Provider details

NPI number: 1962276956
Entity type: Organization
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Parent organization: Centerwell Senior Primary Care (la) PC
Organization subpart: Yes
Authorized official: Angie Martinez, Senior Credentialing Professional(407) 447-7120

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000X
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
General Practice Physician208D00000X
Allopathic & Osteopathic Physicians

Practice location

6404 Groom Rd

Baker, LA 70714-4364

Phone: (225) 614-9065

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

4700 Millenia Blvd Ste 650

Orlando, FL 32839-6013

Other names (DBA / former)

Doing business as: Centerwell Senior Primary Care- Baker

Registry dates

Enumerated: 2023-11-09
Last updated: 2023-11-09
Certified: 2023-11-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.