10D1009795 CLIA NUMBER - FLORIDA CARDIOLOGY PA

Laboratory Demographics

CLIA Number: 10D1009795

Facility Name: FLORIDA CARDIOLOGY PA

Facility Address:
255 CITRUS TOWER BLVD #101
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 394-0893

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033502398

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D1009795
LAB Type	Physician Office
Facility Name	FLORIDA CARDIOLOGY PA
Street	255 CITRUS TOWER BLVD #101
City	CLERMONT
State	FL
ZIP	34711
Phone	352 394-0893
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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