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10D1003235 CLIA NUMBER - FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 10D1003235

Facility Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Facility Address:
1301 2ND AVE SW STE 290
LARGO, FL
ZIP 33770
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Facility Phone Number: 727 940-9580

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1437528080

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 10D1003235
LAB Type Physician Office
Facility Name FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Street 1301 2ND AVE SW STE 290
City LARGO
State FL
ZIP 33770
Phone 727 940-9580
CertificateType 1
CertificateEffectiveDate 7/13/2022
CertificateExpirationDate 7/12/2024
FacilityType Accreditation

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