10D0288391 CLIA NUMBER - FLORIDA CARDIOLOGY GROUP

Laboratory Demographics

CLIA Number: 10D0288391

Facility Name: FLORIDA CARDIOLOGY GROUP

Facility Address:
110 JFK DRIVE STE 110
ATLANTIS, FL
ZIP 33462
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Facility Phone Number: 561 641-9541

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558316604

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D0288391
LAB Type	Physician Office
Facility Name	FLORIDA CARDIOLOGY GROUP
Street	110 JFK DRIVE STE 110
City	ATLANTIS
State	FL
ZIP	33462
Phone	561 641-9541
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

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