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10D0995940 CLIA NUMBER - ORLANDO PHYSICIAN NETWORK

Laboratory Demographics

CLIA Number: 10D0995940

Facility Name: ORLANDO PHYSICIAN NETWORK

Facility Address:
12780 WATERFORD LAKES PKWY STE 135
ORLANDO, FL
ZIP 32828
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Facility Phone Number: 407 649-7413

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720751191

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 10D0995940
LAB Type Physician Office
Facility Name ORLANDO PHYSICIAN NETWORK
Street 12780 WATERFORD LAKES PKWY STE 135
City ORLANDO
State FL
ZIP 32828
Phone 407 649-7413
CertificateType 4
CertificateEffectiveDate 9/17/2022
CertificateExpirationDate 9/16/2024
FacilityType Waiver

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