10D1012531 CLIA NUMBER - EDNEM FAMILY MEDICINE CLINIC

Laboratory Demographics

CLIA Number: 10D1012531

Facility Name: EDNEM FAMILY MEDICINE CLINIC

Facility Address:
7148 CURRY FORD RD STE 100
ORLANDO, FL
ZIP 32822
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Facility Phone Number: 407 482-2221

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386783520

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	10D1012531
LAB Type	Physician Office
Facility Name	EDNEM FAMILY MEDICINE CLINIC
Street	7148 CURRY FORD RD STE 100
City	ORLANDO
State	FL
ZIP	32822
Phone	407 482-2221
CertificateType	4
CertificateEffectiveDate	5/13/2023
CertificateExpirationDate	5/12/2025
FacilityType	Waiver

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