10D1030058 CLIA NUMBER - CARDIOLOGY CONSULTANTS OF SW FL

Laboratory Demographics

CLIA Number: 10D1030058

Facility Name: CARDIOLOGY CONSULTANTS OF SW FL

Facility Address:
13411 PARKER COMMONS BLVD SUITE 101
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 234 415-4900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255437745

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D1030058
LAB Type	Physician Office
Facility Name	CARDIOLOGY CONSULTANTS OF SW FL
Street	13411 PARKER COMMONS BLVD SUITE 101
City	FORT MYERS
State	FL
ZIP	33912
Phone	234 415-4900
CertificateType	4
CertificateEffectiveDate	8/30/2022
CertificateExpirationDate	8/29/2024
FacilityType	Waiver

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