10D0863208 CLIA NUMBER - WOMEN'S CARE FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D0863208

Facility Name: WOMEN'S CARE FLORIDA, LLC

Facility Address:
836 PRUDENTIAL DRIVE SUITE 1202A
JACKSONVILLE, FL
ZIP 32207
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Facility Phone Number: 904 493-5323

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1831772706

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D0863208
LAB Type	Physician Office
Facility Name	WOMEN'S CARE FLORIDA, LLC
Street	836 PRUDENTIAL DRIVE SUITE 1202A
City	JACKSONVILLE
State	FL
ZIP	32207
Phone	904 493-5323
CertificateType	3
CertificateEffectiveDate	8/24/2023
CertificateExpirationDate	8/23/2025
FacilityType	PPMP

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