Humana Physician Group

LBN: Metcare Daytona Beach
Humana Physician Group is an health care organization with primary practice located at 731 N Clyde Morris Blvd , Daytona Beach FL 32114-1603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Metcare Daytona Beach can be contacted via phone (386) 257-1626, or through Meriwether, Kevin via phone (305) 500-2000.

Contact Information

Primary practice address
731 N Clyde Morris Blvd Daytona Beach FL 32114-1603
Phone: (386) 257-1626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meriwether, Kevin
Phone: (305) 500-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1427433135
LBN Legal business name Metcare Daytona Beach
DBA Doing business as Humana Physician Group
Authorized official Meriwether, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Jun 21st, 2024 - about 5 months 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 1427433135 NPPES
Florida Other CX415B MEDICARE PTAN

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