10D1018444 CLIA NUMBER - PHYSICIANS MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D1018444

Facility Name: PHYSICIANS MEDICAL GROUP

Facility Address:
825 OAKLEY SEAVER DR
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 536-1764

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164480042

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	10D1018444
LAB Type	Physician Office
Facility Name	PHYSICIANS MEDICAL GROUP
Street	825 OAKLEY SEAVER DR
City	CLERMONT
State	FL
ZIP	34711
Phone	352 536-1764
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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