Organization
PRC ASSOCIATES, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY BAKSHI M.D. (OWNER)
(386) 274-2977
Entity
Organization
Contact information
Practice address
790 DUNLAWTON AVE, SUITE D, PORT ORANGE, FL 32127-9279
(386) 274-2977
(386) 274-2966
Mailing address
1671 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(386) 274-2966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
10/08/2025
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