10D0942898 CLIA NUMBER - FLORIDA GASTROENTEROLOGY PA

Laboratory Demographics

CLIA Number: 10D0942898

Facility Name: FLORIDA GASTROENTEROLOGY PA

Facility Address:
483 N SEMORAN BLVD STE 101
WINTER PARK, FL
ZIP 32792
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Facility Phone Number: 407 895-9500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770694416

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0942898
LAB Type	Physician Office
Facility Name	FLORIDA GASTROENTEROLOGY PA
Street	483 N SEMORAN BLVD STE 101
City	WINTER PARK
State	FL
ZIP	32792
Phone	407 895-9500
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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