10D0953875 CLIA NUMBER - ORLANDO IMMUNOLOGY CENTER PA

Laboratory Demographics

CLIA Number: 10D0953875

Facility Name: ORLANDO IMMUNOLOGY CENTER PA

Facility Address:
1707 N MILLS AVE
ORLANDO, FL
ZIP 32803
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Facility Phone Number: 407 647-3960

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467003772

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	10D0953875
LAB Type	Physician Office
Facility Name	ORLANDO IMMUNOLOGY CENTER PA
Street	1707 N MILLS AVE
City	ORLANDO
State	FL
ZIP	32803
Phone	407 647-3960
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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