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S.A.C. PRIMARY CARE LLC
NPI 1619166568
Clinic/Center - Medical Specialty in Eustis, FL

Active since October 17, 2007
2000 PREVATT ST, SUITE B2, EUSTIS, FL 32726(352) 589-5890(352) 589-2589 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About S.a.c. Primary Care Llc NPPES

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

S.A.C. PRIMARY CARE LLC (NPI 1619166568) is a healthcare organization registered as a medical specialty in Eustis, Florida and active in the NPI registry since October 2007. The organization lists Suzette Ava Chandler, Managing Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1619166568
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameS.A.C. PRIMARY CARE LLC
Location Address2000 PREVATT ST, SUITE B2Eustis, FL 32726-6149
Mailing AddressPo Box 160Mascotte, FL 34753-0160 · (352) 589-5890 · Fax (352) 589-2589
Phone(352) 589-5890
Fax(352) 589-2589
Organization SubpartNo
Authorized OfficialSuzette Ava ChandlerManaging Member Of Llc · (352) 250-3112
Enumeration DateOctober 17, 2007
✔ NPI 1619166568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · OS8237
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2000 PREVATT ST, Eustis, FL 32726
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Other Identifiers 2

Medicare UPINH08354FL
Medicare PINE5014BFL

Other Providers at the Same Location NPPES 11

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

SHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC
Family Medicine
2000 PREVATT ST
EUSTIS, FL 32726
Lake County (352) 357-2600
DR. MARSHA KIDDER RAUCH A.R.N.P., PHD.
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (407) 869-1450
DR. SUZETTE AVA CHANDLER D.O.
Internal Medicine
2000 PREVATT ST, SUITE B-2
EUSTIS, FL 32726
Lake County (352) 589-5890
DR. KELLY DAWN LILL PHD, LMHC
Counselor
2000 PREVATT ST, SUITE B
EUSTIS, FL 32726
Lake County (352) 589-0622
DR. SHARON ANN NICKELL-OLM M.D.
Family Medicine (Hospice and Palliative Medicine)
2000 PREVATT ST
EUSTIS, FL 32726
Lake County (352) 357-2600
MARSHA K. RAUCH, PHD, ARNP
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (407) 869-1450
MRS. JENNIFER SUE GRAVELL MENDOZA ARNP
Nurse Practitioner (Family)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (321) 273-0301
PATRICIA A KRONK A.R.N.P.
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (321) 273-0301

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 S.A.C. Primary Care LLC's NPI number?

The NPI number for S.A.C. Primary Care LLC is 1619166568. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is S.A.C. Primary Care LLC located?

S.A.C. Primary Care LLC is located at 2000 Prevatt St Suite B2, Eustis, FL 32726. The listed phone number is (352) 589-5890.

What is S.A.C. Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for S.A.C. Primary Care LLC was last updated on October 17, 2007. 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.