OrganizationActive
Sunrise Primary Care Inc
NPI 1124294012 · Family Medicine Physician · Crescent City, FL
Provider details
- NPI number
- 1124294012
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Albino Gaw, Administrator(386) 698-2279
- License
- ME076342 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 N Summit St
Crescent City, FL 32112-2109
Phone: (386) 698-2279
Fax: (386) 698-2239
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 249
Palatka, FL 32178-0249
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.