Daytona Heart Group

LBN: Lewis & Klancke Cardiology Pa
Daytona Heart Group is an health care organization with primary practice located at 655 N Clyde Morris Blvd , Daytona Beach FL 32114-2324. 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 Pa can be contacted via phone (386) 258-8722, or through Phillips, Kathleen T via phone (386) 258-8722.

Contact Information

Primary practice address
655 N Clyde Morris Blvd Daytona Beach FL 32114-2324
Phone: (386) 258-8722
Fax: (386) 258-8659
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 1689395675
LBN Legal business name Lewis & Klancke Cardiology Pa
DBA Doing business as Daytona Heart Group
Authorized official Phillips, Kathleen T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 7th, 2022
Last updated Sep 16th, 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 1689395675 NPPES
Florida Other 99279 MEDICARE
Florida MEDICAID 378998500 MEDICARE

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