10D0709169 CLIA NUMBER - JAMES F CONNOR DO PA

Laboratory Demographics

CLIA Number: 10D0709169

Facility Name: JAMES F CONNOR DO PA

Facility Address:
1851 OLD MOULTRIE RD - STE A
SAINT AUGUSTINE, FL
ZIP 32084
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Facility Phone Number: 904 824-8088

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245250919

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	10D0709169
LAB Type	Physician Office
Facility Name	JAMES F CONNOR DO PA
Street	1851 OLD MOULTRIE RD - STE A
City	SAINT AUGUSTINE
State	FL
ZIP	32084
Phone	904 824-8088
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