10D0692402 CLIA NUMBER - ADVANCE FAMILY PRACTICE LLC

Laboratory Demographics

CLIA Number: 10D0692402

Facility Name: ADVANCE FAMILY PRACTICE LLC

Facility Address:
1910 N ORANGE AVENUE
ORLANDO, FL
ZIP 32804
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Facility Phone Number: 407 644-1132

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649259144

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	10D0692402
LAB Type	Physician Office
Facility Name	ADVANCE FAMILY PRACTICE LLC
Street	1910 N ORANGE AVENUE
City	ORLANDO
State	FL
ZIP	32804
Phone	407 644-1132
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