# PRIMECARE AT TWIN LAKES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902809122
- **Authorized official:** CHARLES DUVA M.D. (PRESIDENT)
- **Authorized official phone:** (386) 274-7800

## Contact information

- **Practice address:** 1890 LPGA BLVD, STE 130, DAYTONA BEACH, FL 32117-7130
- **Practice address phone:** (386) 274-2212
- **Practice address fax:** (386) 274-1508
- **Mailing address:** 1890 LPGA BLVD, SUITE 130, DAYTONA BEACH, FL 32117-7130
- **Mailing address phone:** (386) 274-2212
- **Mailing address fax:** (386) 274-1508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | ME47294 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 03/21/2022