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10D0287186 CLIA NUMBER - PCC MEDICAL HOLDINGS, LLC

Laboratory Demographics

CLIA Number: 10D0287186

Facility Name: PCC MEDICAL HOLDINGS, LLC

Facility Address:
2070 SOUTH MILITARY TRAIL #106
WEST PALM BEACH, FL
ZIP 33415
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Facility Phone Number: 561 353-1225

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1154371953

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 10D0287186
LAB Type Physician Office
Facility Name PCC MEDICAL HOLDINGS, LLC
Street 2070 SOUTH MILITARY TRAIL #106
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 353-1225
CertificateType 4
CertificateEffectiveDate 1/11/2024
CertificateExpirationDate 1/10/2026
FacilityType Waiver

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