10D0963935 CLIA NUMBER - COMMUNITY HOSPITAL FAMILY PRACTICE, LLC

Laboratory Demographics

CLIA Number: 10D0963935

Facility Name: COMMUNITY HOSPITAL FAMILY PRACTICE, LLC

Facility Address:
44 VETERANS AVENUE
BROOKSVILLE, FL
ZIP 34601
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Facility Phone Number: 352 797-3500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922370451

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	10D0963935
LAB Type	Physician Office
Facility Name	COMMUNITY HOSPITAL FAMILY PRACTICE, LLC
Street	44 VETERANS AVENUE
City	BROOKSVILLE
State	FL
ZIP	34601
Phone	352 797-3500
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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