10D1003678 CLIA NUMBER - PRIMARY CARE SPECIALISTS OF ORLANDO LLC

Laboratory Demographics

CLIA Number: 10D1003678

Facility Name: PRIMARY CARE SPECIALISTS OF ORLANDO LLC

Facility Address:
3615 S ORANGE AVE
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 855-2526

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831395797

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 10D1003678
LAB Type Physician Office
Facility Name PRIMARY CARE SPECIALISTS OF ORLANDO LLC
Street 3615 S ORANGE AVE
City ORLANDO
State FL
ZIP 32806
Phone 407 855-2526
CertificateType 4
CertificateEffectiveDate 9/9/2022
CertificateExpirationDate 9/8/2024
FacilityType Waiver

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