Primecare at Twin Lakes LLC
NPI #1902809122 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1902809122
- Entity Type
- Organization
- Organization Name
- Primecare at Twin Lakes LLC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- May 23, 2005
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 1890 LPGA BLVD
- Address 2
- STE 130
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32117-7130
- Phone
- (386) 274-2212
Authorized Official
- Name
- CHARLES DUVA, M.D.
- Title
- PRESIDENT
- Phone
- (386) 274-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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