Evan M Fynes (NPI# 1790949873, PAC ID# 2365660776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1790949873 |
| PAC ID by PECOS | 2365660776 |
| Professional Enrollment ID | I20140827000823 |
| Full Name | Evan M Fynes |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
545 Health Blvd Daytona Beach FL 32114-1493 |
| Phone Number | 3862398500 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 545 Health Blvd, Daytona Beach, FL 32114-1493 | 3862398500 | ADVANCED UROLOGY INSTITUTE, LLC |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinikanth Ayyathurai | Urology | Advanced Urology Institute, LLC | 609 W Highland Blvd, Inverness, FL 34452-4638 |
| Michael Earl Galloway | Radiation Oncology | Advanced Urology Institute, LLC | 2560 Enterprise Rd E, Clearwater, FL 33759-1010 |
| Mikhail Lezhak | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Joseph L Camps | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Robert C Youngman | Urology | Advanced Urology Institute, LLC | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 |
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Howard B Epstein | Urology | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| David S Harris | Urology | Advanced Urology Institute, LLC | 13681 Doctors Way, Gulf Coast Medical Center, Fort Myers, FL 33912-4300 |
| Dinesh S Rao | Urology | Advanced Urology Institute, LLC | 1901 Se 18th Ave Bldg, Suite 300, Ocala, FL 34471-8214 |
| Sean Heron | Urology | Advanced Urology Institute, LLC | 1401 Pasadena Ave S, South Pasadena, FL 33707-3715 |
| Street Address |
545 HEALTH BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32114-1493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mikhail Lezhak | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Arash Rafiei | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Tony L Cantwell | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Matthew M Merrell | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Quynh-dao Tonnu | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Martin K Dineen | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Samuel Lawindy | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Billy Pitapong Vanasupa | Urology | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Hanna-marie Brockway | Nurse Practitioner | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Gunter | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| Kyle J Bettis | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| James W Weaver | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Robert B Leb | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Katherine Rogers | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Charles Harrelson Moss | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Holly Anne Smith | Nurse Practitioner | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Michelle K Kessler | Nurse Practitioner | Rural Health Care Incorporated | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Muhammad I Usmani | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Francis X Decandis | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Find all physicians in zip 32114 | |||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
| Specialty | UROLOGY |
| City + Specialty | DAYTONA BEACH + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.