COMPLETE CARDIOLOGY CARE, P.A. (NPI# 1851552665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851552665 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARDIOLOGY CARE, P.A. |
| Other Organization Name | ERIC L.S. LO, MD., PA |
| Practice Address |
305 Memorial Medical Pkwy Ste 300 Daytona Beach FL 32117-5170 |
| Mailing Address |
Po Box 291427 Port Orange FL 32129-1427 |
| Practice Telephone | 3866721023 |
| Practice Fax Number | 3862632996 |
| Mailing Telephone | 3866721023 |
| Mailing Fax Number | 3862632996 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | HUIJIAN JAMES WANG (OWNER) |
| Authorized Official Telephone | 3866721023 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME112914 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME101341 | FL | Allopathic & Osteopathic Physicians |
| N | 305S00000X | Point of Service | ME72993 | FL | Managed Care Organizations |
| Y | 207R00000X | Internal Medicine | ME72993 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Eric L.S. Lo, MD., PA | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 N. Causeway, Suite C, New Smyrna Beach, FL 32169 | 3864248440 | 3864268839 |
| Street Address |
305 MEMORIAL MEDICAL PKWY STE 300 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043488661 | Huijian James Wang | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2008-02-16 |
| 1164948360 | Heart Rhythm Specialists At Daytona LLC | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2017-08-18 |
| 1871901793 | Florentino Alberto Lupercio Lopez | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881947166 | Richard Wallace Snodgrass | Internal Medicine | 1151 N Halifax Ave, Daytona Beach, FL 32118-3654 | 2012-10-24 |
| 1235423070 | Tabitha Nicole Townsend | Internal Medicine | 303 N Clyde Morris Blvd Roc Bldg-2nd Floor, Halifax Health Center for Oncology, Daytona Beach, FL 32114-2709 | 2011-06-08 |
| 1841524691 | Willie P Potter | Internal Medicine | 647 Orange Ave., Daytona Beach, FL 32114 | 2009-09-28 |
| 1932369212 | Kamal Wahba Boulos | Internal Medicine | 551 National Healthcare Dr, Daytona Beach Va Outpatient Clinic, Daytona Beach, FL 32114-1495 | 2008-06-11 |
| 1760649917 | Tinuade Olusegun | Internal Medicine | 140 S Beach St Ste 402, Daytona Beach, FL 32114-4409 | 2008-05-16 |
| 1508083866 | Anil Suryaprasad | Internal Medicine | 1435 Dunn Ave Ste 101, Daytona Beach, FL 32114-1434 | 2007-04-19 |
| 1235254863 | Dennis Doorneweerd | Internal Medicine | 1133 6th St, Daytona Beach, FL 32117-4142 | 2007-03-20 |
| 1316074701 | Mohammadreza Minouei | Internal Medicine | 303 N. Clyde Morris Blvd, Suite 201, Daytona Beach, FL 32114-2709 | 2007-02-27 |
| 1396837308 | Infectious Diseases of Mid-florida, Pa | Internal Medicine | 104 Lacosta Ln Ste 120, Daytona Beach, FL 32114-8160 | 2006-09-28 |
| 1083723605 | Robert Steven White | Internal Medicine | 601 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 | 2006-08-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.