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LEWIS & KLANCKE CARDIOLOGY PA

Cardiovascular Disease

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.

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Contact Information

LEWIS & KLANCKE CARDIOLOGY PA
695 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL  32114
 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

NPI Number 1669589263
LBN Legal business name LEWIS & KLANCKE CARDIOLOGY PA
Authorized official KATHY PHILLIPS - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 09/13/2022 - About 4 years ago
Identifiers
FL Medicaid 378998500
FL Other 99279 BC/BS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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