10D0285756 CLIA NUMBER - ASSOCIATESMD MEDICAL GROUP, INC

Laboratory Demographics

CLIA Number: 10D0285756

Facility Name: ASSOCIATESMD MEDICAL GROUP, INC

Facility Address:
600 S PINE ISLAND RD STE 104
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 474-4401

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649752296

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	10D0285756
LAB Type	Physician Office
Facility Name	ASSOCIATESMD MEDICAL GROUP, INC
Street	600 S PINE ISLAND RD STE 104
City	PLANTATION
State	FL
ZIP	33324
Phone	954 474-4401
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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