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Organization

S.A.C. PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZETTE AVA CHANDLER D.O. (MANAGING MEMBER OF LLC)
(352) 250-3112
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS8237
FL

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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