10D1015758 CLIA NUMBER - AMIR MANZOOR MD PA

Laboratory Demographics

CLIA Number: 10D1015758

Facility Name: AMIR MANZOOR MD PA

Facility Address:
237 E BALDWIN RD STE 103
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 770-4051

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801804117

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D1015758
LAB Type	Physician Office
Facility Name	AMIR MANZOOR MD PA
Street	237 E BALDWIN RD STE 103
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 770-4051
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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