Afermin Primary Care Pa

LBN: Afermin Primary Care Pa
Afermin Primary Care Pa is an health care organization with primary practice located at 2089 S Ridgewood Ave , South Daytona FL 32119-2240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Afermin Primary Care Pa can be contacted via phone (386) 767-7533, or through Larrazabal, Patrick John via phone (386) 334-1295.

Contact Information

Primary practice address
2089 S Ridgewood Ave South Daytona FL 32119-2240
Phone: (386) 767-7533
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larrazabal, Patrick John Doctor of Medicine (MD)
Phone: (386) 334-1295

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0020477 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0086562 Florida

Profile Details

NPI number 1740673300
LBN Legal business name Afermin Primary Care Pa
DBA Doing business as
Authorized official Larrazabal, Patrick John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 6th, 2015
Last updated Mar 28th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740673300 NPPES
Florida MEDICAID 069436300
Florida MEDICAID 266766500

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