Daytona Heart Group

LBN: Lewis & Klancke Cardiology, P.A.
Daytona Heart Group is an health care organization with primary practice located at 780 Dunlawton Ave Ste 101 , Port Orange FL 32127-4252. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Lewis & Klancke Cardiology, P.A. can be contacted via phone (386) 265-5926, or through Phillips, Kathleen T via phone (386) 258-8722.

Contact Information

Primary practice address
780 Dunlawton Ave Ste 101 Port Orange FL 32127-4252
Phone: (386) 265-5926
Fax: (386) 265-5928
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Kathleen T
Phone: (386) 258-8722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X

Profile Details

NPI number 1205557691
LBN Legal business name Lewis & Klancke Cardiology, P.A.
DBA Doing business as Daytona Heart Group
Authorized official Phillips, Kathleen T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2022
Last updated Oct 3rd, 2023 - about 2 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 1205557691 NPPES
Florida Other 99279 OTHER
Florida MEDICAID 119006900 OTHER

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