10D1013948 CLIA NUMBER - FLORIDA HEART CENTER

Laboratory Demographics

CLIA Number: 10D1013948

Facility Name: FLORIDA HEART CENTER

Facility Address:
1900 NEBRASKA AVE STE 7
FORT PIERCE, FL
ZIP 34950
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Facility Phone Number: 772 465-4499

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760440440

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	10D1013948
LAB Type	Physician Office
Facility Name	FLORIDA HEART CENTER
Street	1900 NEBRASKA AVE STE 7
City	FORT PIERCE
State	FL
ZIP	34950
Phone	772 465-4499
CertificateType	4
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	Waiver

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