PRIMECARE ACQUISITION INC NPI 1649601485

NPI Information

  • NPI: 1649601485
  • Provider Name: PRIMECARE ACQUISITION INC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: PRIMECARE URGENT CARE CENTERS TWIN LAKES
  • CLIA Number: 10D1087468
  • Address: 1890 LPGA BLVD
    SUITE 130
    DAYTONA BEACH, FL
    ZIP 32117
  • Phone: (386) 274-2212

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NPI Details

PRIMECARE ACQUISITION INC is a non pharmacy dispensing site in Daytona Beach, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PRIMECARE ACQUISITION INC NPI is 1649601485. The provider is registered as an organization entity type.
The provider Is Doing Business As Primecare Urgent Care Centers Twin Lakes.

The provider's business location address is:

1890 LPGA BLVD
SUITE 130
DAYTONA BEACH, FL
ZIP 32117-130
Phone: (386) 274-2212

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 10D1087468 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2013 and was last updated on 5/12/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteME67318FLORIDAYes

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: 11/21/2025

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