10D0948166 CLIA NUMBER - VERIMED HEALTH GROUP BELL SHOALS LLC

Laboratory Demographics

CLIA Number: 10D0948166

Facility Name: VERIMED HEALTH GROUP BELL SHOALS LLC

Facility Address:
1150 BELL SHOALS RD
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 681-6064

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487962619

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	10D0948166
LAB Type	Physician Office
Facility Name	VERIMED HEALTH GROUP BELL SHOALS LLC
Street	1150 BELL SHOALS RD
City	BRANDON
State	FL
ZIP	33511
Phone	813 681-6064
CertificateType	4
CertificateEffectiveDate	7/2/2022
CertificateExpirationDate	7/1/2024
FacilityType	Waiver

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