10D0959058 CLIA NUMBER - DAVID ANCONA MD

Laboratory Demographics

CLIA Number: 10D0959058

Facility Name: DAVID ANCONA MD

Facility Address:
603 NORTH FLAMINGO ROAD SUITE 365
PEMBROKE PINES, FL
ZIP 33028
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Facility Phone Number: 954 432-1771

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770579427

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D0959058
LAB Type	Physician Office
Facility Name	DAVID ANCONA MD
Street	603 NORTH FLAMINGO ROAD SUITE 365
City	PEMBROKE PINES
State	FL
ZIP	33028
Phone	954 432-1771
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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