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PHOENIX PRIMARY CARE LLC
NPI 1508489790
Clinic/Center - Primary Care in Palm Coast, FL

Active since May 21, 2020
26B OFFICE PARK DR, PALM COAST, FL 32137(386) 597-2861(844) 272-3971 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Primary Care Llc NPPES

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

PHOENIX PRIMARY CARE LLC (NPI 1508489790) is a healthcare organization registered as a primary care in Palm Coast, Florida and active in the NPI registry since May 2020. The organization lists Sandra Shank, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508489790
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHOENIX PRIMARY CARE LLC
Location Address26B OFFICE PARK DRPalm Coast, FL 32137-3808
Mailing AddressPo Box 354925Palm Coast, FL 32135-4925 · (386) 597-2861 · Fax (844) 272-3971
Phone(386) 597-2861
Fax(844) 272-3971
Organization SubpartYesParent: Abundant Life Ministries-hope House, Inc.
Authorized OfficialSandra ShankCeo · (386) 597-2861
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1508489790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
26B OFFICE PARK DR, Palm Coast, FL 32137
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Other Names 1

Other NameAbundant Life Ministries-hope House, Inc.

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 Phoenix Primary Care LLC's NPI number?

The NPI number for Phoenix Primary Care LLC is 1508489790. It was assigned to this organization in the NPPES registry on May 21, 2020. The provider is also known as Abundant Life Ministries-Hope House, Inc..

Where is Phoenix Primary Care LLC located?

Phoenix Primary Care LLC is located at 26B Office Park Dr, Palm Coast, FL 32137. The listed phone number is (386) 597-2861.

What is Phoenix Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Phoenix Primary Care LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.