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10D0936576 CLIA NUMBER - EASTSIDE MEDICAL CENTER OF SOUTH FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D0936576

Facility Name: EASTSIDE MEDICAL CENTER OF SOUTH FLORIDA LLC

Facility Address:
100 NW 82ND AVENUE STE 401
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 331-5799

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639190184

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 10D0936576
LAB Type Physician Office
Facility Name EASTSIDE MEDICAL CENTER OF SOUTH FLORIDA LLC
Street 100 NW 82ND AVENUE STE 401
City PLANTATION
State FL
ZIP 33324
Phone 954 331-5799
CertificateType 4
CertificateEffectiveDate 9/24/2022
CertificateExpirationDate 9/23/2024
FacilityType Waiver

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