Kenneth K Hines Jr. (NPI# 1477512747, PAC ID# 7719970979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1477512747 |
| PAC ID by PECOS | 7719970979 |
| Professional Enrollment ID | I20080529000730 |
| Full Name | Kenneth K Hines Jr. |
| Organization Legal Name | FLORIDA HEALTH CARE PLAN INC |
| Address |
320 N Clyde Morris Blvd Daytona Beach FL 32114-2744 |
| Phone Number | 3867361948 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436201233 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 | 3867361948 | FLORIDA HEALTH CARE PLAN INC |
| 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 3866767100 | FLORIDA HEALTH CARE PLAN INC |
| Organization Legal Name | FLORIDA HEALTH CARE PLAN INC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael John Parsons | Family Medicine | Florida Health Care Plan Inc | 309 Palm Coast Pkwy Ne, Palm Coast, FL 32137-3886 |
| Khalid Akbar Khan | Internal Medicine | Florida Health Care Plan Inc | 937 N Spring Garden Rd, Deland, FL 32720-2560 |
| Ashley N Briggs | Nurse Practitioner | Florida Health Care Plan Inc | 2777 Enterprise Rd, Orange City, FL 32763-8310 |
| Joseph M Zobian | Ophthalmology | Florida Health Care Plan Inc | 315 Palm Coast Pkwy Ne, Palm Coast, FL 32137-3888 |
| Angela R Merzenich | Family Medicine | Florida Health Care Plan Inc | 707 Platinum Pt, Lake Mary, FL 32746-5702 |
| Rachel Ellen Salerno | Nurse Practitioner | Florida Health Care Plan Inc | 740 Dunlawton Ave, Suite 200, Port Orange, FL 32127-4240 |
| Michelle S Hedderich | Family Medicine | Florida Health Care Plan Inc | 790 Dunlawton Ave, Suite G, Port Orange, FL 32127-4222 |
| Eugene Marion Crouch | Family Medicine | Florida Health Care Plan Inc | 155 S Halifax Ave, Daytona Beach, FL 32118-4481 |
| George L Ehringer | Internal Medicine | Florida Health Care Plan Inc | 1182 Ocean Shore Blvd, Ormond Beach, FL 32176-3799 |
| Jeffrey Smith | Family Medicine | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Street Address |
320 N CLYDE MORRIS BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32114-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Smith | Family Medicine | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Elizabeth Ann Le | Family Medicine | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Maria C Puentes | Nurse Practitioner | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Stephen Goykovich | Family Medicine | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Tina Tso | Family Medicine | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| Kimberely Sue Casagni | Nurse Practitioner | Florida Health Care Plan Inc | 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 |
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DAYTONA BEACH + DIAGNOSTIC RADIOLOGY |
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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.