OrganizationCenterwell Senior Primary Care Az Pc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address14813 N Del Webb Blvd, Sun City, AZ 85351-2145(602) 834-5435(407) 447-7120PECOS EnrollmentBased on the most recent information from CMS, provider Centerwell Senior Primary Care Az Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003563396Provider TypeOrganizationFull NameCenterwell Senior Primary Care Az PcOther Name<Unavail>SubpartYesEnumeration Date3/7/2022Last Updated10/31/2022Contact InformationPractice LocationPractice Address14813 N Del Webb Blvd, Sun City, AZ 85351-2145Phone(602) 834-5435Fax(877) 536-8313Mailing LocationMailing Address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013Phone(407) 447-7120FaxUnlisted FaxAuthorized OfficialNameMartinez, Angie (Senior Credentialing Professional)Phone(407) 447-7120Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer