Afermin Primary Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0020477 Issued in FL

Legal business name

AFERMIN PRIMARY CARE PA

Practice address

2089 S Ridgewood Ave
South Daytona, FL 32119-2240

Phone

(386) 767-7533

NPI assigned

Mar 6, 2015

Organization subpart

Yes

Parent organization

FLETA MEDICAL CARE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Patrick John Larrazabal, M.D.NPI 1518923275

Title

Owner/Provider

Phone

(386) 334-1295

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Fleta Medical Care Center LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fleta Medical Care Center, LLC

  • Family Medicine Physician
  • South Daytona, FL
  • NPI 1871991539
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick John Larrazabal, MD

  • Internal Medicine Physician
  • South Daytona, FL
  • NPI 1518923275
  Medicare reassignment Care Compare group NPD Authorized official
• William Hornby

  • Physician Assistant
  • South Daytona, FL
  • NPI 1205395274
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1740673300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL CIR STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745054",
            "telephone_number": "386-334-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192240",
            "telephone_number": "386-767-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFERMIN PRIMARY CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLETA MEDICAL CARE CENTER LLC",
        "enumeration_date": "2015-03-06",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "LARRAZABAL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "386-334-1295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0020477",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0086562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069436300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266766500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacolby Patrice Adams
• Leilani Rain Adams
• Barbara Adkins, PTA
• Carolyn Beth Adkins, M.S., R.D., L.D.
• Advanced Medical
• Jennifer Lee Alicea, SLP
• All Care LLC
• All Care, LLC
• Maysia S Allen, MS, CAP
• Amara Chiropractic Center

• Family Medicine Physician in South Daytona, FL
• Providers in South Daytona, 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 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.