Organization · Type 2 NPI

Lewis & Klancke Cardiology, P.a.

Cardiovascular Disease Physician · Deland, FL

NPI number 1164560041 Active

Practice location

630 W Plymouth Ave
Deland, FL 32720-3260

Call (386) 734-3654 Map

Fax (386) 943-8087

Mailing address

695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Clinical Cardiac Electrophysiology Physician	207RC0001X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Nuclear Cardiology Physician	207UN0901X	None listed

Cardiovascular Disease Physician: 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.

4 other providers at this address

NPI record

NPI: 1164560041
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Sep 6, 2022
Status: Active
Subpart: Yes of Lewis & Klancke Cardiology, P.a.

Other names

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Daytona Heart Group · doing business as

Authorized official

Kathy T Phillips
Credentialing Coordinator
(386) 258-8722

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164560041

Lewis & Klancke Cardiology, P.a.'s National Provider Identifier is 1164560041, issued on Feb 2, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Deland, FL. The record was last updated on Sep 6, 2022.