10D1016542 CLIA NUMBER - CENTRAL FLORIDA CARDIOLOGY GROUP

Laboratory Demographics

CLIA Number: 10D1016542

Facility Name: CENTRAL FLORIDA CARDIOLOGY GROUP

Facility Address:
1745 N MILLS AVENUE STE 150
ORLANDO, FL
ZIP 32803
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Facility Phone Number: 407 841-7151

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1245244540

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	10D1016542
LAB Type	Other
Facility Name	CENTRAL FLORIDA CARDIOLOGY GROUP
Street	1745 N MILLS AVENUE STE 150
City	ORLANDO
State	FL
ZIP	32803
Phone	407 841-7151
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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