DAYTONA HEART GROUP
NPI 1376264788
Internal Medicine - Cardiovascular Disease in Deltona, FL

Active since September 06, 2022
3400 HALIFAX CROSSING BLVD STE 220, DELTONA, FL 32725(386) 774-5485(386) 775-0761 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2023, Sep 20, 2022, Sep 6, 2022 (3 updates tracked since 2022).

About Daytona Heart Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAYTONA HEART GROUP (NPI 1376264788) is a healthcare organization registered as a cardiovascular disease in Deltona, Florida and active in the NPI registry since September 2022. The organization lists Kathleen T Phillips, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376264788
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLEWIS & KLANCKE CARDIOLOGY, P.A.
Location Address3400 HALIFAX CROSSING BLVD STE 220Deltona, FL 32725-2914
Mailing Address695 N Clyde Morris BlvdDaytona Beach, FL 32114-2321 · (386) 258-8722 · Fax (386) 258-9443
Fax(386) 775-0761
Organization SubpartYes
Authorized OfficialKathleen T PhillipsCredentialing Coordinator · (386) 258-8722
Enumeration DateSeptember 6, 2022
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
NPI 1376264788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

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.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
3400 HALIFAX CROSSING BLVD STE 220, Deltona, FL 32725

Other Names 1

Doing Business AsDaytona Heart Group

Other Identifiers 2

Other99279FL · Medicare
Medicaid119006900FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376264788, enumerated as an "organization" on September 06, 2022.

The provider is located at 3400 HALIFAX CROSSING BLVD STE 220 DELTONA, FL 32725 and the phone number is (386) 774-5485.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.