Dr. Lars Spencer Nelson , MD
Surgery โข Daytona Beach, FL
1890 Lpga Blvd, Suite 250
Daytona Beach, FL 321177130
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 14, 2009; this date does not establish years in practice.
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Published CMS data list 269 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 56 service units.
- 99213 โ Established patient outpatient office visit: 54 service units.
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 124 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 42 prescription fills, including refills.
- Cephalexin โ 25 prescription fills, including refills.
- Ondansetron Odt (Ondansetron) โ 24 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Surgery in Daytona Beach, FL (2024, 15 clinicians with data). Median for this group: 316. Middle half: 249 to 383.
Close to the middle for Medicare Part B services among clinicians listed under Surgery in Florida (2024, 1,032 clinicians with data). Median for this group: 229. Middle half: 109 to 440.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 338 in 2020 to 269 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1890 Lpga Blvd
Suite 250
Daytona Beach, FL 321177130
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 4 distinct group names: Florida Clinical Practice Association Inc; Florida Hospital Medical Group Inc; Jorge L Florin Md Pa and 1 more. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2009
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
190 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $27,639 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $21,427 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
124 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,474 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $550.88 across 19 records.
By nature of payment
- Food and Beverage: $550.88 across 19 records.
Reporting-company totals (3 largest of 13)
- Ethicon Inc.: $124.05 across 2 records.
- Daiichi Sankyo Inc.: $78.79 across 3 records.
- AstraZeneca Pharmaceuticals LP: $57.74 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Daytona Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Surgery in Daytona Beach, FL (2024, 15 clinicians with data). Median for this group: 316. Middle half: 249 to 383.
Close to the middle for clinicians listed under Surgery in Florida (2024, 1,032 clinicians with data). Median for this group: 229. Middle half: 109 to 440.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Surgery in Daytona Beach, FL (2024, 15 clinicians with data). Median for this group: $43,626. Middle half: $28,063 to $48,846.
Close to the middle for clinicians listed under Surgery in Florida (2024, 1,032 clinicians with data). Median for this group: $31,559. Middle half: $12,420 to $65,734.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Surgery in Daytona Beach, FL (2024, 15 clinicians with data). Median for this group: $32,691. Middle half: $22,078 to $37,207.
Close to the middle for clinicians listed under Surgery in Florida (2024, 1,032 clinicians with data). Median for this group: $24,355. Middle half: $9,647 to $51,165.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Surgery in Daytona Beach, FL (2024, 14 clinicians with data). Median for this group: 128. Middle half: 78 to 240.
More Part D prescriptions than 65% of clinicians listed under Surgery in Florida (2024, 829 clinicians with data). Median for this group: 69. Middle half: 30 to 145.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Surgery in Daytona Beach, FL (2024, 14 clinicians with data). Median for this group: $755. Middle half: $398 to $1,471.
A higher Part D drug cost than 70% of clinicians listed under Surgery in Florida (2024, 829 clinicians with data). Median for this group: $488. Middle half: $153 to $1,724.
23 active clinicians are listed under Surgery with a practice address in Daytona Beach, FL (1,888 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Daytona Beach
4.3% of these 23 clinicians have the CMS telehealth indicator.
78.3% of these 23 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 20% from 338 in 2020 to 269 in 2024.
- 2020: 338
- 2021: 275
- 2022: 236
- 2023: 308
- 2024: 269
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Medicare-allowed amount
Medicare-allowed amount decreased 33% from $41,405 in 2020 to $27,639 in 2024.
- 2020: $41,405
- 2021: $28,477
- 2022: $26,249
- 2023: $35,920
- 2024: $27,639
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Paid by Medicare
Paid by Medicare decreased 33% from $32,185 in 2020 to $21,427 in 2024.
- 2020: $32,185
- 2021: $21,487
- 2022: $19,691
- 2023: $28,237
- 2024: $21,427
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 48% from 84 in 2020 to 124 in 2024.
- 2020: 84
- 2021: 92
- 2022: 117
- 2023: 108
- 2024: 124
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30-day fills
30-day fills increased 48% from 84 in 2020 to 124 in 2024.
- 2020: 84
- 2021: 92
- 2022: 117
- 2023: 108
- 2024: 124
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Part D drug cost
Part D drug cost went from $578 in 2020 to $1,474 in 2024.
- 2020: $578
- 2021: $848
- 2022: $1,239
- 2023: $766
- 2024: $1,474
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 46% from $1,020.06 in 2021 to $550.88 in 2025.
- 2021: $1,020.06
- 2022: $1,019.74
- 2023: $1,229.91
- 2024: $1,729.32
- 2025: $550.88
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 19 records totaling $550.88.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Ethicon Inc. |
Food and Beverage
In-kind items and services
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Echelon Circular | General | $96.79 |
| TELA Bio, Inc. |
Food and Beverage
In-kind items and services
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OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) | General | $57.28 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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ENHERTU | General | $29.69 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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ENHERTU | General | $28.05 |
| Ethicon Inc. |
Food and Beverage
In-kind items and services
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Echelon; Endopath | General | $27.26 |
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
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BRUKINSA | General | $26.88 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
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Enhertu | General | $26.59 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
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Enhertu | General | $26.57 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
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Enhertu | General | $25.63 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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KISQALI | General | $23.91 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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V.A.C.ULTA | General | $23.30 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
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GORE ENFORM Preperitoneal Biomaterial | General | $22.99 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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ZEPZELCA | General | $22.79 |
| Exelixis Inc. |
Food and Beverage
In-kind items and services
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CABOMETYX | General | $22.34 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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KISQALI | General | $21.36 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TALVEY | General | $19.19 |
| RECORDATI_RARE_DISEASES_INC. |
Food and Beverage
In-kind items and services
|
ENJAYMO | General | $17.96 |
| RECORDATI_RARE_DISEASES_INC. |
Food and Beverage
In-kind items and services
|
ENJAYMO | General | $17.59 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
LIGASURE | General | $14.71 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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56 | 54 | $450.50 | $128.20 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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54 | 33 | $210.00 | $87.32 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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34 | 16 | $119.12 | $48.66 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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26 | 20 | $310.00 | $120.09 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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23 | 23 | $471.97 | $159.55 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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19 | 11 | $260.53 | $76.66 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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16 | 11 | $119.83 | $54.86 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
14 | 14 | $303.40 | $109.15 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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14 | 14 | $606.93 | $169.49 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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13 | 13 | $297.15 | $81.77 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 42 | 129 | $263.50 | 40 |
| Cephalexin | Cephalexin | 25 | 171 | $185.65 | 15 |
| Ondansetron Odt | Ondansetron | 24 | 300 | $799.04 | 16 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 22 | 84 | $98.48 | 18 |
| Metronidazole | Metronidazole | 11 | 100 | $127.02 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
NUCC Taxonomy Code: 2086S0127X
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20160125002187
FL
7012153240
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Florida Clinical Practice Association Inc
303 N Clyde Morris Blvd, Daytona Beach, FL 321142709
Phone: 3864254000
Florida Hospital Medical Group Inc
631 E Altamonte Dr, Altamonte Springs, FL 327014802
Phone: 4073035214
Jorge L Florin Md Pa
2100 Ocoee Apopka Rd, Apopka, FL 327039210
Phone: 4075213600
Florida Clinical Practice Association Inc
2001 Sw 13th St, Gainesville, FL 326081532
Phone: 3522658990
North Florida Surgeons Pa
1890 Lpga Blvd, Daytona Beach, FL 321177131
Phone: 3862740250
Florida Hospital Medical Group Inc
2600 Westhall Ln, Maitland, FL 327517102
Phone: 4072002700
Florida Clinical Practice Association Inc
2001 Sw 13th St, Gainesville, FL 326081532
Phone: 3522658982
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Acute Care
Advanced Practice Registered Nurse
Physician Assistant
MMS, Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 11945 SAN JOSE BLVD, SUITE 300, JACKSONVILLE, FL 322231613 (Tel: 9043961725)
Registered at 1890 LPGA BLVD, SUITE 250, DAYTONA BEACH, FL 321177130 (Tel: 3862740250)
Recorded as LARS NELSON, MD
Surgery (license number reported to NPPES: FL ME123398)
NPI status registered as active in NPPES database
Registered at 1890 LPGA BLVD, SUITE 250, DAYTONA BEACH, FL 321177130 (Tel: 3862740250)
Registered at 1890 LPGA BLVD, SUITE 250, DAYTONA BEACH, FL 321177130 (Tel: 3862740250)
Recorded as LARS NELSON, MD
Surgery (license number reported to NPPES: FL ME123398)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Daytona Beach
- Dr. Harry Black, MD
- Dr. Caren Wilkie, MD
- Dr. Mark White, MD
- Dr. Kimberly Brown, MD
- Amanda Briese
- Dr. Kristin Wulff, MD
Mailing Address
11945 San Jose Blvd, Suite 300
Jacksonville, FL 322231613
Phone: 9043961725