Afermin Primary Care Pa
LBN: Afermin Primary Care Pa
Afermin Primary Care Pa is an health care organization with primary practice located at 2089 S Ridgewood Ave , South Daytona FL 32119-2240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Afermin Primary Care Pa can be contacted via phone (386) 767-7533, or through Larrazabal, Patrick John via phone (386) 334-1295.
Contact Information
Primary practice address
2089 S Ridgewood Ave
South Daytona FL 32119-2240
Phone: (386) 767-7533
Fax:
Website:
Authorized official contact:
Name: Larrazabal, Patrick John Doctor of Medicine (MD)
Phone: (386) 334-1295
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0020477 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0086562 | Florida |
Profile Details
| NPI number | 1740673300 |
|---|---|
| LBN Legal business name | Afermin Primary Care Pa |
| DBA Doing business as | |
| Authorized official | Larrazabal, Patrick John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 6th, 2015 |
| Last updated | Mar 28th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740673300 | NPPES |
| Florida | MEDICAID | 069436300 | |
| Florida | MEDICAID | 266766500 |
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