10D0907678 CLIA NUMBER - MEDICAL SPECIALISTS OF THE PALM BEACHES INC

Laboratory Demographics

CLIA Number: 10D0907678

Facility Name: MEDICAL SPECIALISTS OF THE PALM BEACHES INC

Facility Address:
5401 S CONGRESS AVE STE 105D
ATLANTIS, FL
ZIP 33462
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Facility Phone Number: 561 969-3109

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1003859208

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	10D0907678
LAB Type	Physician Office
Facility Name	MEDICAL SPECIALISTS OF THE PALM BEACHES INC
Street	5401 S CONGRESS AVE STE 105D
City	ATLANTIS
State	FL
ZIP	33462
Phone	561 969-3109
CertificateType	2
CertificateEffectiveDate	11/16/2023
CertificateExpirationDate	11/15/2025
FacilityType	Compliance

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