Sunrise Primary Care INC
Family Medicine in Crescent City, FL. Organization (NPI-2).
NPI number1124294012
StatusActive
Last updated in NPPESMay 1, 2008
Details
- NPI
- 1124294012
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Primary Care INC
- Organization subpart
- No
- Enumeration date
- May 1, 2008
- Last updated
- May 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME076342 | FL | Yes |
Practice location
811 N Summit StCrescent City, FL 32112-2109
Phone 386-698-2279 · Fax 386-698-2239
Mailing address
Po Box 249Palatka, FL 32178-0249
Phone 386-698-2279 · Fax 386-698-2239
Authorized official
Albino Gaw
Administrator
3866982279
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Other Family Medicine Physician providers in Crescent City, FL
- Express Family CareNPI 1891034823
- John F Hull, D.O,P.ANPI 1386619096
- John F Hull DO PANPI 1801074885
- Sunrise Primary Care INCNPI 1346439965
- Sunrise Primary Care INCNPI 1891984415
All 6 Family Medicine Physician providers in Crescent City · All 71 providers in Crescent City
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