10D0944320 CLIA NUMBER - MARVIN D MAXWELL MD

Laboratory Demographics

CLIA Number: 10D0944320

Facility Name: MARVIN D MAXWELL MD

Facility Address:
4020 US 27 NORTH
SEBRING, FL
ZIP 33870
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Facility Phone Number: 863 314-0020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720001209

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0944320
LAB Type	Physician Office
Facility Name	MARVIN D MAXWELL MD
Street	4020 US 27 NORTH
City	SEBRING
State	FL
ZIP	33870
Phone	863 314-0020
CertificateType	4
CertificateEffectiveDate	4/10/2024
CertificateExpirationDate	4/9/2026
FacilityType	Waiver

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