| Phoenix Primary Care Llc | |
|
26b Office Park Dr Palm Coast FL 32137-3808 | |
| (386) 597-2861 | |
| (844) 272-3971 |
| Full Name | Phoenix Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 26b Office Park Dr, Palm Coast, Florida |
| Authorized Official Name and Position | Sandra Shank (CEO) |
| Authorized Official Contact | 3865972861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Primary Care Llc Po Box 354925 Palm Coast FL 32135-4925 Ph: (386) 597-2861 | Phoenix Primary Care Llc 26b Office Park Dr Palm Coast FL 32137-3808 Ph: (386) 597-2861 |
| NPI Number | 1508489790 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508489790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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