Healther Providers Data Logo

10D0938846 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL

Laboratory Demographics

CLIA Number: 10D0938846

Facility Name: HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL

Facility Address:
400 ARTHUR GODFREY RD, STE 200
MIAMI BEACH, FL
ZIP 33140
Get Directions

Facility Phone Number: 813 536-7277

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073038923

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name Field Value
CLIA Number 10D0938846
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL
Street 400 ARTHUR GODFREY RD, STE 200
City MIAMI BEACH
State FL
ZIP 33140
Phone 813 536-7277
CertificateType 4
CertificateEffectiveDate 9/30/2022
CertificateExpirationDate 9/29/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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