Individual provider · Type 1 NPI

Loren Captain, PA-C

Physician Assistant · Daytona Beach, FL

NPI number 1053202960 Active

Practice location

222 S Peninsula Dr
Daytona Beach, FL 32118-4422

Fax (386) 310-2106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053202960

Loren Captain, PA-C's National Provider Identifier is 1053202960, issued on Jul 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 6, 2025.