Sunrise Primary Care Inc

LBN: Sunrise Primary Care Inc
Sunrise Primary Care Inc is an health care organization with primary practice located at 811 North Summit St , Crescent City FL 32112-2407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Sunrise Primary Care Inc can be contacted via phone (386) 698-2279, or through Rivera, Maria-Josefina S via phone (386) 698-2279.

Contact Information

Primary practice address
811 North Summit St Crescent City FL 32112-2407
Phone: (386) 698-2279
Fax: (386) 698-2239
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Maria-Josefina S Doctor of Medicine (MD)
Phone: (386) 698-2279

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME76342 Florida

Profile Details

NPI number 1437104916
LBN Legal business name Sunrise Primary Care Inc
DBA Doing business as
Authorized official Rivera, Maria-Josefina S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jul 27th, 2007 - about 17 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 1437104916 NPPES
Florida MEDICAID 660181200

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