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10D0920036 CLIA NUMBER - SACRED HEART MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D0920036

Facility Name: SACRED HEART MEDICAL GROUP

Facility Address:
3754 HWY 90 STE 200
PACE, FL
ZIP 32571
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Facility Phone Number: 850 746-0150

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1841961786

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 10D0920036
LAB Type Other
Facility Name SACRED HEART MEDICAL GROUP
Street 3754 HWY 90 STE 200
City PACE
State FL
ZIP 32571
Phone 850 746-0150
CertificateType 4
CertificateEffectiveDate 5/1/2023
CertificateExpirationDate 4/30/2025
FacilityType Waiver

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