Primecare At Twin Lakes Llc in Daytona Beach - Urgent Care
Primecare At Twin Lakes Llc - NPI 1902809122
Primecare At Twin Lakes Llc is a Urgent Care in Daytona Beach, Florida. Primecare At Twin Lakes Llc practices all healthcare services and medical treatments related to Urgent Care. The NPI Number for Primecare At Twin Lakes Llc is 1902809122. The last update date is 2022-03-21.
Primecare At Twin Lakes Llc's current location address is 1890 Lpga Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862742212 and fax number 3862741508. The mailing address for Primecare At Twin Lakes Llc is 1890 Lpga Blvd, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primecare At Twin Lakes Llc |
|---|---|
| Address | 1890 Lpga Blvd, Daytona Beach, Florida |
| Phone Number | 3862742212 |
| Fax Number | 3862741508 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duva Charles |
| Credentials | M.D. |
| Telephone Number | 3862747800 |
NPI Number Detail
| NPI Number | 1902809122 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2022-03-21 |
Provider Mailing Address Detail
| Address | 1890 Lpga Blvd |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 3211771300 |
| Phone Number | 3862742212 |
| Fax Number | 3862741508 |
Provider's Primary Taxonomy Detail
| Speciality | Urgent Care |
|---|---|
| Taxonomy | 261Qu0200X |
| Licence No | ME47294 |
|
Definition: Treats injuries, sudden illnesses, and other urgent health conditions without an appointment, often with extended hours. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B90F7 | FL | FLORIDA BLUE | |
| 77984 | FL | BC/BS OF FL PA GROUP | |
| DC0901 | FL | RAILROAD MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Primecare At Twin Lakes Llc by the Centers for Medicare & Medicaid Services?
The Primecare At Twin Lakes Llc has been issued the NPI (National Provider Identifier) 1902809122, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Primecare At Twin Lakes Llc?
The Primecare At Twin Lakes Llc is situated at 1890 Lpga Blvd, in the city of Daytona Beach, state of FL, with the zip code 3211771300.
What is Primecare At Twin Lakes Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Primecare At Twin Lakes Llc's area of specialization is Urgent Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qu0200X.
On what date did the Primecare At Twin Lakes Llc receive its 1902809122 assignment from the Centers for Medicare & Medicaid Services?
The Primecare At Twin Lakes Llc was assigned its 1902809122 by the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the Primecare At Twin Lakes Llc's information last updated?
The Primecare At Twin Lakes Llc's information was last updated on 2022-03-21.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN