Primecare At Twin Lakes Llc

Specialty details in registry · Daytona Beach, FL

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At a glance

1890 Lpga Blvd, Daytona Beach, FL 32117-7130

NPPES record updated Aug 26, 2011. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1890 Lpga Blvd Suite 130
Daytona Beach, FL 32117-7130

Professional details: NPI, taxonomy & registry record

NPI1154601706

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QU0200X
Enumeration date: Aug 26, 2011
Record updated: Aug 26, 2011

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QU0200X · Primary

License reported: 10699 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1890 Lpga Blvd
Suite 130
Daytona Beach, FL 32117-7130

Phone: (386) 274-2212
Fax: (386) 274-1508

Mailing address

1890 LPGA BLVD
SUITE 130
DAYTONA BEACH, FL 321177130

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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