Sunrise Primary Care Inc

LBN: Sunrise Primary Care Inc
Sunrise Primary Care Inc is an health care organization with primary practice located at 811 N Summit St , Crescent City FL 32112-2109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sunrise Primary Care Inc can be contacted via phone (386) 698-2279, or through Gaw, Albino via phone (386) 698-2279.

Contact Information

Primary practice address
811 N Summit St Crescent City FL 32112-2109
Phone: (386) 698-2279
Fax: (386) 698-2239
Website:
Map and Directions
Authorized official contact:
Name: Gaw, Albino
Phone: (386) 698-2279

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME076342 Florida

Profile Details

NPI number 1124294012
LBN Legal business name Sunrise Primary Care Inc
DBA Doing business as
Authorized official Gaw, Albino
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124294012 NPPES
Florida MEDICAID 660181201

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