10D0298644 CLIA NUMBER - RENATA TEYTELBAUM MD PA

Laboratory Demographics

CLIA Number: 10D0298644

Facility Name: RENATA TEYTELBAUM MD PA

Facility Address:
585 MAIN ST STE 101
DUNEDIN, FL
ZIP 34698
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Facility Phone Number: 727 734-6777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497756621

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	10D0298644
LAB Type	Physician Office
Facility Name	RENATA TEYTELBAUM MD PA
Street	585 MAIN ST STE 101
City	DUNEDIN
State	FL
ZIP	34698
Phone	727 734-6777
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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