10D0907708 CLIA NUMBER - TAMER GOZLEVELI DO PA

Laboratory Demographics

CLIA Number: 10D0907708

Facility Name: TAMER GOZLEVELI DO PA

Facility Address:
1 SW 129TH AVE STE 109
PEMBROKE PINES, FL
ZIP 33027
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Facility Phone Number: 954 450-9595

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295964237

Taxonomy: 207QG0300X - Family Medicine
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	10D0907708
LAB Type	Physician Office
Facility Name	TAMER GOZLEVELI DO PA
Street	1 SW 129TH AVE STE 109
City	PEMBROKE PINES
State	FL
ZIP	33027
Phone	954 450-9595
CertificateType	4
CertificateEffectiveDate	10/19/2023
CertificateExpirationDate	10/18/2025
FacilityType	Waiver

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