# S.A.C. PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619166568
- **Authorized official:** DR. SUZETTE AVA CHANDLER D.O. (MANAGING MEMBER OF LLC)
- **Authorized official phone:** (352) 250-3112

## Contact information

- **Practice address:** 2000 PREVATT ST, SUITE B2, EUSTIS, FL 32726-6149
- **Practice address phone:** (352) 589-5890
- **Practice address fax:** (352) 589-2589
- **Mailing address:** PO BOX 160, MASCOTTE, FL 34753-0160
- **Mailing address phone:** (352) 589-5890
- **Mailing address fax:** (352) 589-2589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OS8237 | FL | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007