10D0940269 CLIA NUMBER - RAFAEL ANTUN MD PA

Laboratory Demographics

CLIA Number: 10D0940269

Facility Name: RAFAEL ANTUN MD PA

Facility Address:
7600 SW 57 AVE STE 213
MIAMI, FL
ZIP 33143
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Facility Phone Number: 305 548-4005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457309288

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D0940269
LAB Type	Physician Office
Facility Name	RAFAEL ANTUN MD PA
Street	7600 SW 57 AVE STE 213
City	MIAMI
State	FL
ZIP	33143
Phone	305 548-4005
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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