Primecare Acquisition Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMECARE ACQUISITION FAMILY PRACTICE INC

Practice address

1890 Lpga Blvd Ste 130
Daytona Beach, FL 32117-7131

Phone

(386) 274-2212

Fax

(386) 274-1508

NPI assigned

Nov 19, 2019

Last updated

Mar 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa M Lehman, RN

Title

Director

Phone

(386) 274-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Buckley Canalizo, MD

  • Emergency Medicine Physician
  • Orange City, FL
  • NPI 1538116355
  Medicare reassignment NPD
• Monica Edith Cantu, MD

  • General Practice Physician
  • Daytona Beach, FL
  • NPI 1598155830
  Medicare reassignment NPD
• Regina M George, NP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1477079036
  Medicare reassignment NPD
• Rebecca Romack, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1619234770

  FL

  Medicare reassignment NPD
• Coman A Thomas, CRNP

  • Family Nurse Practitioner
  • New Oxford, PA
  • NPI 1447622600

  FL

  Medicare reassignment NPD
• Michael Francis Fisher, PA

  • Medical Physician Assistant
  • Los Banos, CA
  • NPI 1629076237

  FL

  Medicare reassignment
• Victoria Hinckley, PA-C

  • Medical Physician Assistant
  • Quincy, MA
  • NPI 1942712294

  FL

  Medicare reassignment
• Avi Ramsarup, PA-C

  • Physician Assistant
  • South Ozone Park, NY
  • NPI 1770886905

  FL

  Medicare reassignment
• Charles Daniel Duva, MD

  • Emergency Medicine Physician
  • Orange City, FL
  • NPI 1023064839
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1003452681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-274-2212",
            "fax_number": "386-274-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-274-2212",
            "fax_number": "386-274-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE ACQUISITION FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-274-2212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline-Irene Preuninger
• Edwin Prevatte, MD
• Sarah-Elisabeth Priest
• Primary Healthcare Alliance Foundation Inc
• Prime Health of Central Florida (Advanced Pediatric Gastroenterology Specialists)
• Primecare Acquisition Inc (PrimeCare Urgent Care Centers Twin Lakes)
• Primecare at Twin Lakes LLC
• Primecare at Twin Lakes LLC
• Primecare Family Medicine LLC
• Fay L Prince, RN

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.