Daytona Heart Group

LBN: Lewis & Klancke Cardiology Pa
Daytona Heart Group is an health care organization with primary practice located at 695 N Clyde Morris Blvd , Daytona Beach FL 32114. The organization recently has 6 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 / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Lewis & Klancke Cardiology Pa can be contacted via phone (386) 258-8722, or through Phillips, Kathy via phone (386) 258-8722.

Contact Information

Primary practice address
695 N Clyde Morris Blvd Daytona Beach FL 32114
Phone: (386) 258-8722
Fax: (386) 258-9443
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Kathy
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
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1669589263
LBN Legal business name Lewis & Klancke Cardiology Pa
DBA Doing business as Daytona Heart Group
Authorized official Phillips, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Sep 13th, 2022 - 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 1669589263 NPPES
Florida MEDICAID 378998500
Florida Other 99279

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