| NPI | 1376264788 |
|---|---|
| Doing Business As | DAYTONA HEART GROUP |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN T PHILLIPS Credentialing Coordinator 386-258-8722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-10-03 |