| Tampa Sport & Spine | |
|
949 Beville Rd D5 South Daytona FL 32119-1705 | |
| (813) 230-3607 | |
| Not Available |
| Full Name | Tampa Sport & Spine |
|---|---|
| Speciality | Clinic/center |
| Location | 949 Beville Rd, South Daytona, Florida |
| Authorized Official Name and Position | Taylor Jourdan Levick (OWNER) |
| Authorized Official Contact | 8132303607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Sport & Spine 170 Acklins Cir Apartment 308 Daytona Beach FL 32119-9781 Ph: (813) 230-3607 | Tampa Sport & Spine 949 Beville Rd D5 South Daytona FL 32119-1705 Ph: (813) 230-3607 |
| NPI Number | 1275933681 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275933681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH10885 (Florida) | Primary |
Accdient & Injury Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Beville Rd, South Daytona, FL 32119 Phone: 386-668-9622 | |
Volusia Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-424-1584 Fax: 386-410-4800 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beville Rd Ste 101&102, South Daytona, FL 32119 Phone: 386-267-6214 Fax: 386-999-0414 | |
Gohar S. Khan, M.d., P,a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000 Fax: 386-767-3761 | |
Patient Aligned Primary Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Big Tree Rd, South Daytona, FL 32119 Phone: 386-506-8910 | |
Rizalina Leuterio Md P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 386-760-0532 |