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Contact Information

LEWIS & KLANCKE CARDIOLOGY PA
695 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL32114
 Phone: 386-258-8722
 Fax: 386-258-9443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LEWIS KLANCKE CARDIOLOGY PA · (Female)

NPI Number 1669589263
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 09/13/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 378998500
  • FL Other 99279 BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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