Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Primary Care LLC

Organization Primary Care Clinic/Center · NPI 1508489790

Phoenix Primary Care LLC is a Primary Care Clinic/Center in Palm Coast, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26B Ofc Park DR
Palm Coast, FL 32137-3808
Phone: (386) 597-2861
Fax: (844) 272-3971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1508489790
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAbundant Life Ministries-Hope House, Inc
Authorized official Sandra Shank — Ceo · (386) 597-2861
Other names Abundant Life Ministries-Hope House, Inc.
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing addressPo Box 354925, Palm Coast, FL 32135-4925

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