Organization · Type 2 NPI

Lewis & Klancke Cardiology PA

Cardiovascular Disease Physician · Daytona Beach, FL

NPI number 1689395675 Active

Practice location

655 N Clyde Morris Blvd
Daytona Beach, FL 32114-2324

Call (386) 258-8722 Map

Fax (386) 258-8659

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.

5 other providers at this address

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NPI record

NPI: 1689395675
Entity type: Organization (Type 2)
Issued: Sep 7, 2022
Last updated: Sep 16, 2022
Status: Active
Subpart: Yes of Lewis & Klancke Cardiology, P.a.

Other names

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Daytona Heart Group · doing business as
Daytona Heart Group · doing business as

Authorized official

Kathleen 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 1689395675

Lewis & Klancke Cardiology PA's National Provider Identifier is 1689395675, issued on Sep 7, 2022. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Daytona Beach, FL. The record was last updated on Sep 16, 2022.