NPI Profile for LEWIS KLANCKE CARDIOLOGY PA in DAYTONA BEACH, FL.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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 |
| 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 |
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| Hospital affiliation(s) | Not Available |
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LEWIS & KLANCKE CARDIOLOGY PA
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