Sunrise Primary Care Inc
LBN: Sunrise Primary Care Inc
Sunrise Primary Care Inc is an health care organization with primary practice located at 219 N Palm Ave , Palatka FL 32177-2627. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Sunrise Primary Care Inc can be contacted via phone (386) 325-8002, or through Rivera, Maria-Josefina S via phone (386) 325-8002.
Contact Information
Primary practice address
219 N Palm Ave
Palatka FL 32177-2627
Phone: (386) 325-8002
Fax: (386) 325-8055
Website:
Authorized official contact:
Name: Rivera, Maria-Josefina S Doctor of Medicine (MD)
Phone: (386) 325-8002
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 76342 | Florida |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ME 76342 | Florida |
Profile Details
| NPI number | 1073642419 |
|---|---|
| LBN Legal business name | Sunrise Primary Care Inc |
| DBA Doing business as | Sunrise Primary Care Inc |
| Authorized official | Rivera, Maria-Josefina S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2007 |
| Last updated | Jul 12th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073642419 | NPPES |
| Florida | MEDICAID | 660236300 |
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