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10D0271040 CLIA NUMBER - GARY GOTTHELF MD PA

Laboratory Demographics

CLIA Number: 10D0271040

Facility Name: GARY GOTTHELF MD PA

Facility Address:
2120 EAST JOHNSON AVE SUITE 100
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: 850 477-3252

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1932102746

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0271040
LAB Type Physician Office
Facility Name GARY GOTTHELF MD PA
Street 2120 EAST JOHNSON AVE SUITE 100
City PENSACOLA
State FL
ZIP 32514
Phone 850 477-3252
CertificateType 4
CertificateEffectiveDate 2/23/2024
CertificateExpirationDate 2/22/2026
FacilityType Waiver

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