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10D1007620 CLIA NUMBER - PHYSICIANS PRMARY CARE OF SW FLORIDA PL

Laboratory Demographics

CLIA Number: 10D1007620

Facility Name: PHYSICIANS PRMARY CARE OF SW FLORIDA PL

Facility Address:
1708 CAPE CORAL PKWY W STE 4
CAPE CORAL, FL
ZIP 33914
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Facility Phone Number: 239 945-5940

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962825794

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D1007620
LAB Type Physician Office
Facility Name PHYSICIANS PRMARY CARE OF SW FLORIDA PL
Street 1708 CAPE CORAL PKWY W STE 4
City CAPE CORAL
State FL
ZIP 33914
Phone 239 945-5940
CertificateType 4
CertificateEffectiveDate 12/23/2022
CertificateExpirationDate 12/22/2024
FacilityType Waiver

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