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10D1021594 CLIA NUMBER - FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 10D1021594

Facility Name: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Facility Address:
3280 MCMULLEN BOOTH RD STE 200
CLEARWATER, FL
ZIP 33761
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Facility Phone Number: 727 216-1141

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1952604696

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 10D1021594
LAB Type Physician Office
Facility Name FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Street 3280 MCMULLEN BOOTH RD STE 200
City CLEARWATER
State FL
ZIP 33761
Phone 727 216-1141
CertificateType 1
CertificateEffectiveDate 4/20/2023
CertificateExpirationDate 4/19/2025
FacilityType Accreditation

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