10D1023414 CLIA NUMBER - WOMEN'S WELLNESS CENTER OF SOUTH FL LLC, THE

Laboratory Demographics

CLIA Number: 10D1023414

Facility Name: WOMEN'S WELLNESS CENTER OF SOUTH FL LLC, THE

Facility Address:
3850 COCONUT CREEK PKWY, STE 3A
COCONUT CREEK, FL
ZIP 33066
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Facility Phone Number: 954 984-8892

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962454132

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D1023414
LAB Type	Physician Office
Facility Name	WOMEN'S WELLNESS CENTER OF SOUTH FL LLC, THE
Street	3850 COCONUT CREEK PKWY, STE 3A
City	COCONUT CREEK
State	FL
ZIP	33066
Phone	954 984-8892
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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