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1508489790
PHOENIX PRIMARY CARE LLC
PALM COAST, FL
NPI
1508489790
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Entity Type
Organization
Authorized Contact
SANDRA SHANK
CEO
386-597-2861
Organization Subpart ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
PHOENIX PRIMARY CARE LLC
26B OFFICE PARK DR
PALM COAST, FL 32137-3808
Phone number: 386-597-2861
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Mailing Address
PHOENIX PRIMARY CARE LLC
PO BOX 354925
PALM COAST, FL 32135-4925
Phone number: 386-597-2861
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