10D0912207 CLIA NUMBER - TOTAL PEDIATRIC CARE

Laboratory Demographics

CLIA Number: 10D0912207

Facility Name: TOTAL PEDIATRIC CARE

Facility Address:
100 E COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33334
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Facility Phone Number: 954 351-0202

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316349905

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D0912207
LAB Type	Physician Office
Facility Name	TOTAL PEDIATRIC CARE
Street	100 E COMMERCIAL BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33334
Phone	954 351-0202
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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