Clayton, Kimberly Lavita

Clayton, Kimberly Lavita is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 101 , Daytona Beach FL 32117-5169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clayton, Kimberly Lavita can be contacted via phone (386) 231-3615.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 101 Daytona Beach FL 32117-5169
Phone: (386) 231-3615
Fax: (386) 231-3614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME88022 Florida

Profile Details

NPI number 1306830617
LBN Legal business name Clayton, Kimberly Lavita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306830617 NPPES
Florida Other 593287185 TID
Florida MEDICAID 268130700 TID

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