PRIMECARE ACQUISITION INC


Address: 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130
Phone: 3862742212

PRIMECARE ACQUISITION INC (NPI# 1649601485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649601485
Entity Type Organization
Organization Name PRIMECARE ACQUISITION INC
Other Organization Name PRIMECARE URGENT CARE CENTERS TWIN LAKES
Practice Address 1890 Lpga Blvd
Suite 130
Daytona Beach
FL 32117-7130
Mailing Address 5626 Oberlin Dr
Suite 110
San Diego
CA 92121-1705
Practice Telephone 3862742212
Enumeration Date 2013-12-04
Last Update Date 2014-05-12
Authorized Official Name KENNY HEINE (VP OF OPERATIONS)
Authorized Official Telephone 8589641506
Is Organization Subpart Y
Parent Organization Name MEDVANTX, INC,

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site ME67318 FL Suppliers

Other Provider/Organization Names

Other Name Type Code
PrimeCare Urgent Care Centers Twin Lakes Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780013821 Primecare Acquisition Inc Non-Pharmacy Dispensing Site 740 Dunlawton Ave, Suite 100, Port Orange, FL 32127-4239 2013-11-08

Office Location

Street Address 1890 LPGA BLVD
SUITE 130
City DAYTONA BEACH
State FL
Zip Code 32117-7130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902809122 Primecare At Twin Lakes LLC Clinic/Center 1890 Lpga Blvd, Ste 130, Daytona Beach, FL 32117-7130 2005-05-23
1093069395 James T Sutton Md Pa Surgery 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 2012-11-08
1659622686 Michael P. Harrington, M.d., P.a. Surgery 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 2012-10-01
1598015398 Dale R Traficante Md Pa Urology 1890 Lpga Blvd, Suite 220, Daytona Beach, FL 32117-7138 2012-09-19
1962777185 David G Ramshaw Md Pa Specialist 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 2012-03-21
1114201647 Surgical Associates of Volusia Specialist 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7130 2011-10-03
1154601706 Primecare At Twin Lakes LLC Clinic/Center 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 2011-08-26
1225328289 Florida Woman Care, LLC Obstetrics & Gynecology 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7130 2011-04-12
1255644969 Florida Endovascular Specialists LLC Radiology 1890 Lpga Blvd, Suite 140, Daytona Beach, FL 32117-7130 2010-07-22
1184854465 Primecare Family Medicine LLC Family Medicine 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 2009-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
1659726248 Advanced Urology Institute LLC Non-Pharmacy Dispensing Site 545 Health Blvd, Daytona Beach, FL 32114-1493 2016-05-02
1073936415 Volusia Medical Center LLC Non-Pharmacy Dispensing Site 575 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 2014-01-21

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1407460223 Daisy Lomadilla Boyer Non-Pharmacy Dispensing Site 11703 Holly Creek Dr, Riverview, FL 33569-3356 2020-08-31
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1871115436 Kempcare Inc. Non-Pharmacy Dispensing Site 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 2020-05-17
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Competitor

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City DAYTONA BEACH
Zip Code 32117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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