10D1017179 CLIA NUMBER - JOHN LITTELL MD PA

Laboratory Demographics

CLIA Number: 10D1017179

Facility Name: JOHN LITTELL MD PA

Facility Address:
300 PARK PLACE BLVD
KISSIMMEE, FL
ZIP 34741
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Facility Phone Number: 407 343-1711

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609896323

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	10D1017179
LAB Type	Physician Office
Facility Name	JOHN LITTELL MD PA
Street	300 PARK PLACE BLVD
City	KISSIMMEE
State	FL
ZIP	34741
Phone	407 343-1711
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

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