SUNRISE PRIMARY CARE INC
NPI 1124294012
Family Medicine in Crescent City, FL

Active since May 01, 2008
811 N SUMMIT ST, CRESCENT CITY, FL 32112(386) 698-2279(386) 698-2239 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Primary Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE PRIMARY CARE INC (NPI 1124294012) is a healthcare organization registered as a family medicine in Crescent City, Florida and active in the NPI registry since May 2008. The organization lists Albino Gaw, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124294012
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUNRISE PRIMARY CARE INC
Location Address811 N SUMMIT STCrescent City, FL 32112-2109
Mailing AddressPo Box 249Palatka, FL 32178-0249 · (386) 698-2279 · Fax (386) 698-2239
Fax(386) 698-2239
Organization SubpartNo
Authorized OfficialAlbino GawAdministrator · (386) 698-2279
Enumeration DateMay 1, 2008
NPI 1124294012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME076342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
811 N SUMMIT ST, Crescent City, FL 32112

Other Identifiers 1

Medicaid660181201FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
811 N SUMMIT ST
CRESCENT CITY, FL 32112
Family Medicine
811 N SUMMIT ST
CRESCENT CITY, FL 32112
Family Medicine
811 N SUMMIT ST
CRESCENT CITY, FL 32112
Physician Assistant (Medical)
811 N SUMMIT ST
CRESCENT CITY, FL 32112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Primary Care Inc's NPI number?

The NPI number for Sunrise Primary Care Inc is 1124294012. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Sunrise Primary Care Inc located?

Sunrise Primary Care Inc is located at 811 N Summit St, Crescent City, FL 32112. The listed phone number is (386) 698-2279.

What is Sunrise Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sunrise Primary Care Inc was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.