10D0952290 CLIA NUMBER - ANNE P PHAM DO

Laboratory Demographics

CLIA Number: 10D0952290

Facility Name: ANNE P PHAM DO

Facility Address:
1302 NORTH PINE HILLS RD
ORLANDO, FL
ZIP 32808
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Facility Phone Number: 407 445-0790

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033125968

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	10D0952290
LAB Type	Physician Office
Facility Name	ANNE P PHAM DO
Street	1302 NORTH PINE HILLS RD
City	ORLANDO
State	FL
ZIP	32808
Phone	407 445-0790
CertificateType	4
CertificateEffectiveDate	7/28/2022
CertificateExpirationDate	7/27/2024
FacilityType	Waiver

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