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10D0860556 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ROSEMONT

Laboratory Demographics

CLIA Number: 10D0860556

Facility Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ROSEMONT

Facility Address:
5554 CLARCONA OCOEE RD
ORLANDO, FL
ZIP 32810
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Facility Phone Number: 407 292-0292

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1184669418

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0860556
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ROSEMONT
Street 5554 CLARCONA OCOEE RD
City ORLANDO
State FL
ZIP 32810
Phone 407 292-0292
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