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Organization
SUNRISE PRIMARY CARE INC
Active
Organization
SUNRISE PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA-JOSEFINA S RIVERA M.D. (PRES)
(386) 325-8002
Entity
Organization
Contact information
Practice address
219 N PALM AVE, PALATKA, FL 32177-2627
(386) 325-8002
(386) 325-8055
Mailing address
PO BOX 249, PALATKA, FL 32178-0249
(386) 325-8002
(386) 325-8055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 76342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255175601
—
FL
Enumeration date
03/08/2007
Last updated
03/24/2015
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