Provider Demographics
NPI:1598278707
Name:SUNBELT VISITING PRIMARY CARE LLC
Entity Type:Organization
Organization Name:SUNBELT VISITING PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CDO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN,WCC
Authorized Official - Phone:904-553-2027
Mailing Address - Street 1:2601 PAULORI DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8143
Mailing Address - Country:US
Mailing Address - Phone:904-553-2027
Mailing Address - Fax:
Practice Address - Street 1:8833 PERIMETER PARK BLVD STE 901
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1113
Practice Address - Country:US
Practice Address - Phone:904-240-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care