Healther Providers Data Logo

10D0949357 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP FAMILY & INTERNAL MEDICINE AT SOUTH STREET

Laboratory Demographics

CLIA Number: 10D0949357

Facility Name: ADVENTHEALTH MEDICAL GROUP FAMILY & INTERNAL MEDICINE AT SOUTH STREET

Facility Address:
320 E SOUTH STREET SUITE 100
ORLANDO, FL
ZIP 32801
Get Directions

Facility Phone Number: 407 843-1180

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1497280002

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 10D0949357
LAB Type Physician Office
Facility Name ADVENTHEALTH MEDICAL GROUP FAMILY & INTERNAL MEDICINE AT SOUTH STREET
Street 320 E SOUTH STREET SUITE 100
City ORLANDO
State FL
ZIP 32801
Phone 407 843-1180
CertificateType 4
CertificateEffectiveDate 1/22/2023
CertificateExpirationDate 1/21/2025
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