| Primecare Acquisition Family Practice Inc | |
|
1890 Lpga Blvd Ste 130 Daytona Beach FL 32117-7131 | |
| (386) 274-2212 | |
| (386) 274-1508 |
| Full Name | Primecare Acquisition Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 Lpga Blvd Ste 130, Daytona Beach, Florida |
| Authorized Official Name and Position | Lisa M Lehman (DIRECTOR) |
| Authorized Official Contact | 3862742212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Acquisition Family Practice Inc 1890 Lpga Blvd Ste 130 Daytona Beach FL 32117-7131 Ph: (386) 274-2212 | Primecare Acquisition Family Practice Inc 1890 Lpga Blvd Ste 130 Daytona Beach FL 32117-7131 Ph: (386) 274-2212 |
| NPI Number | 1003452681 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 03/21/2022 |
| Medicare PECOS PAC ID | 5799116315 |
|---|---|
| Medicare Enrollment ID | O20200515000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003452681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John B Canalizo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538116355 PECOS PAC ID: 9234235417 Enrollment ID: I20090619000481 |
| Provider Name | Monica E Cantu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598155830 PECOS PAC ID: 5698091940 Enrollment ID: I20150303001644 |
| Provider Name | Rebecca A Romack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619234770 PECOS PAC ID: 1658670252 Enrollment ID: I20171006000661 |
| Provider Name | Regina M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079036 PECOS PAC ID: 0345515516 Enrollment ID: I20171014000260 |
| Provider Name | Coman Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447622600 PECOS PAC ID: 2567765225 Enrollment ID: I20220630000814 |
| Provider Name | Tammy Jo Leggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871066373 PECOS PAC ID: 1658723697 Enrollment ID: I20240116001581 |
Alexandra Crossman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Kemshol Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 984 Orange Ave, Daytona Beach, FL 32114 Phone: 386-226-3008 Fax: 386-226-3044 | |
Primary Healthcare Alliance Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Dunn Ave Ste B, Daytona Beach, FL 32114 Phone: 386-238-9527 Fax: 386-492-5059 | |
Volusia Hospitalists Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-676-0255 Fax: 386-676-2555 | |
Premier Infectious Disease Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 636-333-4500 | |
Crouch & Dunn Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 S Halifax Ave, Daytona Beach, FL 32118 Phone: 386-238-7408 Fax: 386-253-5518 |