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10D0869749 CLIA NUMBER - BROOKSVILLE HMA PHYSICIANS MANAGEMENT LLC

Laboratory Demographics

CLIA Number: 10D0869749

Facility Name: BROOKSVILLE HMA PHYSICIANS MANAGEMENT LLC

Facility Address:
11329 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
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Facility Phone Number: 352 596-5052

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1063089332

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 10D0869749
LAB Type Physician Office
Facility Name BROOKSVILLE HMA PHYSICIANS MANAGEMENT LLC
Street 11329 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-5052
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