10D1019011 CLIA NUMBER - SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY

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Laboratory Demographics

CLIA Number: 10D1019011

Facility Name: SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY

Facility Address:
6200 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487
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Facility Phone Number: 561 997-8991

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1598075632

Taxonomy: 207VX0201X - Obstetrics & Gynecology
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

CLIA Record

Field Name	Field Value
CLIA Number	10D1019011
LAB Type	Physician Office
Facility Name	SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY
Street	6200 N FEDERAL HWY
City	BOCA RATON
State	FL
ZIP	33487
Phone	561 997-8991
CertificateType	2
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	Compliance

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