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

Sunrise Primary Care Inc

Organization Family Medicine Physician · NPI 1124294012

Sunrise Primary Care Inc is a Family Medicine Physician in Crescent City, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 N Summit St
Crescent City, FL 32112-2109
Phone: (386) 698-2279
Fax: (386) 698-2239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME076342 (FL)

Record details

NPI number1124294012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albino Gaw — Administrator · (386) 698-2279
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008
Mailing addressPo Box 249, Palatka, FL 32178-0249

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