10D0294849 CLIA NUMBER - PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA

Laboratory Demographics

CLIA Number: 10D0294849

Facility Name: PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA

Facility Address:
1261 VISCAYA PKWY
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 573-7337

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699757633

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D0294849
LAB Type	Physician Office
Facility Name	PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA
Street	1261 VISCAYA PKWY
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 573-7337
CertificateType	4
CertificateEffectiveDate	11/25/2023
CertificateExpirationDate	11/24/2025
FacilityType	Waiver

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