10D1089614 CLIA NUMBER - ADVENTHEALYH MEDICAL GROUP AMILY AND INTERNAL MEDICINE AT CYPRESS CREEK

Laboratory Demographics

CLIA Number: 10D1089614

Facility Name: ADVENTHEALYH MEDICAL GROUP AMILY AND INTERNAL MEDICINE AT CYPRESS CREEK

Facility Address:
26827 FOGGY CREEK RD - STE 101
WESLEY CHAPEL, FL
ZIP 33544
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Facility Phone Number: 813 973-7774

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073735833

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D1089614
LAB Type Physician Office
Facility Name ADVENTHEALYH MEDICAL GROUP AMILY AND INTERNAL MEDICINE AT CYPRESS CREEK
Street 26827 FOGGY CREEK RD - STE 101
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 973-7774
CertificateType 4
CertificateEffectiveDate 9/22/2022
CertificateExpirationDate 9/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024