Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lewis & Klancke Cardiology, PA

Organization Cardiovascular Disease Physician · NPI 1205557691

Lewis & Klancke Cardiology, PA is a Cardiovascular Disease Physician in Port Orange, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

780 Dunlawton Ave Ste 101
Port Orange, FL 32127-4252
Phone: (386) 265-5926
Fax: (386) 265-5928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1205557691
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLewis & Klancke Caradiology, PA
Authorized official Kathleen Phillips — Credentialing Coordinator · (386) 258-8722
Other names Daytona Heart Group; Daytona Heart Group
NPI enumeratedSeptember 6, 2022
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321

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