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10D0907756 CLIA NUMBER - WELLINGTON INTERNAL MEDICINE GROUP PA

Laboratory Demographics

CLIA Number: 10D0907756

Facility Name: WELLINGTON INTERNAL MEDICINE GROUP PA

Facility Address:
10131 FOREST HILL BLVD SUITE 100 A
WELLINGTON, FL
ZIP 33414
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Facility Phone Number: 561 753-8366

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1154426591

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0907756
LAB Type Physician Office
Facility Name WELLINGTON INTERNAL MEDICINE GROUP PA
Street 10131 FOREST HILL BLVD SUITE 100 A
City WELLINGTON
State FL
ZIP 33414
Phone 561 753-8366
CertificateType 4
CertificateEffectiveDate 10/20/2023
CertificateExpirationDate 10/19/2025
FacilityType Waiver

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