Healther Providers Data Logo

10D1008435 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ALTAMONTE

Laboratory Demographics

CLIA Number: 10D1008435

Facility Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ALTAMONTE

Facility Address:
360 DOUGLAS AVE
ALTAMONTE SPRINGS, FL
ZIP 32714
Get Directions

Facility Phone Number: 407 788-8200

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1306899307

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 10D1008435
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF ALTAMONTE
Street 360 DOUGLAS AVE
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 788-8200
CertificateType 4
CertificateEffectiveDate 1/21/2023
CertificateExpirationDate 1/20/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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