Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care Fl Jv PLLC

Organization Family Medicine Physician · NPI 1003643214

Centerwell Senior Primary Care Fl Jv PLLC is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4250 Philips Hwy # 100
Jacksonville, FL 32207-6730
Phone: (904) 839-1018
Fax: (904) 656-7279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1003643214
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Fl Jv PLLC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Conviva Philips Highway; Conviva Philips Highway
NPI enumeratedSeptember 19, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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