Organization
SUNRISE PRIMARY CARE INC
Active
Other names
Sunrise Primary Care INC
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
ME 76342
FL
261QP2300X
Primary Care Clinic/Center
Primary
ME 76342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660236300
—
FL
Enumeration date
03/03/2007
Last updated
07/12/2012
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