10D0884518 CLIA NUMBER - CRAIG A PELLER MD

Laboratory Demographics

CLIA Number: 10D0884518

Facility Name: CRAIG A PELLER MD

Facility Address:
301 NW 84TH AVE STE 202
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 370-1841

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548255953

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0884518
LAB Type	Physician Office
Facility Name	CRAIG A PELLER MD
Street	301 NW 84TH AVE STE 202
City	PLANTATION
State	FL
ZIP	33324
Phone	954 370-1841
CertificateType	4
CertificateEffectiveDate	4/2/2024
CertificateExpirationDate	4/1/2026
FacilityType	Waiver

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