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

Loren Captain, PA-C

Individual provider Physician Assistant · NPI 1053202960

Loren Captain, PA-C is a Physician Assistant in Daytona Beach, Florida. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
Trained at
Philadelphia Col of Osteo Med, Sewanee
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone: (386) 310-2160
Fax: (386) 310-2106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053202960
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 10, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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