10D0710211 CLIA NUMBER - FAMILY MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 10D0710211

Facility Name: FAMILY MEDICAL CENTERS

Facility Address:
1555 KINGSLEY AVE STE 601
ORANGE PARK, FL
ZIP 32073
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Facility Phone Number: 904 264-0264

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932363629

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	10D0710211
LAB Type	Physician Office
Facility Name	FAMILY MEDICAL CENTERS
Street	1555 KINGSLEY AVE STE 601
City	ORANGE PARK
State	FL
ZIP	32073
Phone	904 264-0264
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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