10D0952126 CLIA NUMBER - JUPITER PEDS, LLC

Laboratory Demographics

CLIA Number: 10D0952126

Facility Name: JUPITER PEDS, LLC

Facility Address:
6650 W INDIANTOWN RD STE 110
JUPITER, FL
ZIP 33458
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Facility Phone Number: 561 575-9876

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801821319

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D0952126
LAB Type	Physician Office
Facility Name	JUPITER PEDS, LLC
Street	6650 W INDIANTOWN RD STE 110
City	JUPITER
State	FL
ZIP	33458
Phone	561 575-9876
CertificateType	4
CertificateEffectiveDate	10/10/2022
CertificateExpirationDate	10/9/2024
FacilityType	Waiver

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