| NPI | 1669589263 |
|---|---|
| Doing Business As | DAYTONA HEART GROUP |
| Entity Type | Organization |
| Authorized Contact | KATHY PHILLIPS Credentialing Coordinator 386-258-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-09-13 |