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).
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, |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | ME67318 | FL | Suppliers |
Other Name | Type Code |
---|---|
PrimeCare Urgent Care Centers Twin Lakes | Doing Business As Name - Organization |
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 |
Street Address |
1890 LPGA BLVD SUITE 130 |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32117-7130 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32117 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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---|---|---|---|---|
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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Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32117 |
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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.