10D0954822 CLIA NUMBER - GARY J RICHMOND MD PA

Laboratory Demographics

CLIA Number: 10D0954822

Facility Name: GARY J RICHMOND MD PA

Facility Address:
315 SE 14TH ST
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 524-2250

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255345963

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0954822
LAB Type	Physician Office
Facility Name	GARY J RICHMOND MD PA
Street	315 SE 14TH ST
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	954 524-2250
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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