10D1018359 CLIA NUMBER - ROBERT T GONZALEZ MD FAAP PA

Laboratory Demographics

CLIA Number: 10D1018359

Facility Name: ROBERT T GONZALEZ MD FAAP PA

Facility Address:
2301 N UNIVERSITY DR STE 202
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 433-1825

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447437058

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D1018359
LAB Type Physician Office
Facility Name ROBERT T GONZALEZ MD FAAP PA
Street 2301 N UNIVERSITY DR STE 202
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 433-1825
CertificateType 4
CertificateEffectiveDate 10/21/2023
CertificateExpirationDate 10/20/2025
FacilityType Waiver

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