Primecare At Twin Lakes Llc

LBN: Primecare At Twin Lakes Llc
Primecare At Twin Lakes Llc is an health care organization with primary practice located at 1890 Lpga Blvd Ste 130, Daytona Beach FL 32117-7130. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Primecare At Twin Lakes Llc can be contacted via phone (386) 274-2212, or through Duva, Charles via phone (386) 274-7800.

Contact Information

Primary practice address
1890 Lpga Blvd Ste 130 Daytona Beach FL 32117-7130
Phone: (386) 274-2212
Fax: (386) 274-1508
Website:
Map and Directions
Authorized official contact:
Name: Duva, Charles Doctor of Medicine (MD)
Phone: (386) 274-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X ME47294 Florida

Profile Details

NPI number 1902809122
LBN Legal business name Primecare At Twin Lakes Llc
DBA Doing business as
Authorized official Duva, Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Mar 21st, 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 1902809122 NPPES
Florida Other B90F7 FLORIDA BLUE
Florida Other 77984 FLORIDA BLUE
Florida Other DC0901 FLORIDA BLUE

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