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10D0293724 CLIA NUMBER - FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 10D0293724

Facility Name: FAMILY MEDICAL CLINIC

Facility Address:
4801 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905
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Facility Phone Number: 239 694-2161

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1639585466

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 10D0293724
LAB Type Community Clinic
Facility Name FAMILY MEDICAL CLINIC
Street 4801 PALM BEACH BLVD
City FORT MYERS
State FL
ZIP 33905
Phone 239 694-2161
CertificateType 4
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Waiver

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