AFERMIN PRIMARY CARE PA
NPI 1740673300
Family Medicine in South Daytona, FL
About Afermin Primary Care Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFERMIN PRIMARY CARE PA (NPI 1740673300) is a healthcare organization registered as a family medicine in South Daytona, Florida and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Patrick John Larrazabal, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Afermin Primary Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Afermin Primary Care PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0970918
Afermin Primary Care PA · South Daytona, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Afermin Primary Care PA's NPI number?
The NPI number for Afermin Primary Care PA is 1740673300. It was assigned to this organization in the NPPES registry on March 6, 2015.
Where is Afermin Primary Care PA located?
Afermin Primary Care PA is located at 2089 S Ridgewood Ave, South Daytona, FL 32119. The listed phone number is (386) 767-7533.
What is Afermin Primary Care PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Afermin Primary Care PA enrolled in Medicare?
Yes. Afermin Primary Care PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Afermin Primary Care PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Afermin Primary Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Afermin Primary Care PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0970918) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Afermin Primary Care PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Afermin Primary Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Afermin Primary Care PA was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Afermin Primary Care Pa · NPI 1740673300
Family Medicine organization in South Daytona, Florida. Organization record, active in the CMS NPPES registry since March 6, 2015.
## Identity
- **NPI:** 1740673300 (Entity type: Organization)
- **Enumerated:** March 6, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Fleta Medical Care Center Llc)
- **Authorized official:** Patrick Larrazabal, OWNER/PROVIDER
## Practice location
- **Address:** 2089 S RIDGEWOOD AVE, South Daytona, FL 32119-2240
- **Phone:** (386) 767-7533
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2018
- **Other identifiers:** Medicaid 266766500 (FL); Medicaid 069436300 (FL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1740673300) · Data from the CMS NPPES public registry.