10D0919107 CLIA NUMBER - FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC

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Laboratory Demographics

CLIA Number: 10D0919107

Facility Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC

Facility Address:
3401 PGA BLVD STE 200
PALM BEACH GARDENS, FL
ZIP 33410
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Facility Phone Number: 561 366-4100

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1881937829

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	10D0919107
LAB Type	Physician Office
Facility Name	FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE LLC
Street	3401 PGA BLVD STE 200
City	PALM BEACH GARDENS
State	FL
ZIP	33410
Phone	561 366-4100
CertificateType	1
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Accreditation

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