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 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) 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:
Map and Directions
Authorized official contact:
Name: Rivera, Maria-Josefina S Doctor of Medicine (MD)
Phone: (386) 325-8002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 76342 Florida

Profile Details

NPI number 1568593937
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 Mar 8th, 2007
Last updated Mar 24th, 2015 - about 9 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 1568593937 NPPES
Florida MEDICAID 255175601

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