AFERMIN PRIMARY CARE PA
NPI 1740673300
Family Medicine in South Daytona, FL

Active since March 06, 2015CLIA 10D0970918 · Waiver
2089 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119(386) 767-7533 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1740673300
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAFERMIN PRIMARY CARE PA
Location Address2089 S RIDGEWOOD AVESouth Daytona, FL 32119-2240
Mailing Address500 Memorial Cir Ste AOrmond Beach, FL 32174-5054 · (386) 334-1295
Organization SubpartYesParent: Fleta Medical Care Center Llc
Authorized OfficialPatrick John LarrazabalOwner/provider · (386) 334-1295
Enumeration DateMarch 6, 2015
Last NPPES UpdateMarch 28, 2018
NPI 1740673300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME0020477
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME0086562 (FL)
2089 S RIDGEWOOD AVE, South Daytona, FL 32119

Other Identifiers 2

Medicaid266766500FL
Medicaid069436300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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, FL
Active · expires Feb 28, 2028
CLIA Number10D0970918
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorPatrick J. Larrazabal
Laboratory Phone(386) 767-7533
Laboratory LocationAfermin Primary Care PA2089 S Ridgewood Ave, South Daytona, FL 32119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Physician Assistant
2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Counselor (Addiction (Substance Use Disorder))
2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Internal Medicine
2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Family Medicine
2089 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119

Frequently 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.

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.

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.