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PRIMECARE ACQUISITION FAMILY PRACTICE INC NPI 1003452681


NPI Information

NPI: 1003452681
Provider Name: PRIMECARE ACQUISITION FAMILY PRACTICE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2181165

Address:
1890 LPGA BLVD STE 130
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 274-2212
Get Directions

PRIMECARE ACQUISITION FAMILY PRACTICE INC is a family medicine in Daytona Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMECARE ACQUISITION FAMILY PRACTICE INC NPI is 1003452681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1890 LPGA BLVD STE 130
DAYTONA BEACH, FL
ZIP 32117-131
Phone: (386) 274-2212
Fax: (386) 274-1508

The provider's authorized official is Lisa M Lehman .
The authorized official title is Director and has the following contact phone number (386) 274-2212.

The CLIA number assigned to this NPI record is 10D2181165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 3/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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