AFERMIN PRIMARY CARE PA NPI 1740673300

NPI Information

  • NPI: 1740673300
  • Provider Name: AFERMIN PRIMARY CARE PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D0970918
  • Address: 2089 S RIDGEWOOD AVE
    SOUTH DAYTONA, FL
    ZIP 32119
  • Phone: (386) 767-7533

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NPI Details

AFERMIN PRIMARY CARE PA is a family medicine in South Daytona, 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. AFERMIN PRIMARY CARE PA NPI is 1740673300. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL
ZIP 32119-240
Phone: (386) 767-7533

The provider's authorized official is Patrick John Larrazabal .
The authorized official title is Owner/provider and has the following contact phone number (386) 334-1295.

The CLIA number assigned to this NPI record is 10D0970918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 3/28/2018.

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
1207Q00000XFamily MedicineME0020477FLORIDAYes
2207R00000XInternal MedicineME0086562FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1266766500MEDICAIDFLORIDA
2069436300MEDICAIDFLORIDA

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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