Provider Demographics
NPI:1124589221
Name:CENTMARS INC
Entity Type:Organization
Organization Name:CENTMARS INC
Other - Org Name:ADVANTAGE HOUSE CALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-272-3233
Mailing Address - Street 1:300 N RONALD REAGAN BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5902
Mailing Address - Country:US
Mailing Address - Phone:321-272-3233
Mailing Address - Fax:
Practice Address - Street 1:300 N RONALD REAGAN BLVD STE 303
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5902
Practice Address - Country:US
Practice Address - Phone:321-272-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care