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10D1040897 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF CLERMONT

Laboratory Demographics

CLIA Number: 10D1040897

Facility Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF CLERMONT

Facility Address:
1735 B EAST HWY 50
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 241-0549

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1346293636

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D1040897
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SENIOR PRIMARY CARE OF CLERMONT
Street 1735 B EAST HWY 50
City CLERMONT
State FL
ZIP 34711
Phone 352 241-0549
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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