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10D1044981 CLIA NUMBER - NEW TAMPA MEDICAL CLINIC INC

Laboratory Demographics

CLIA Number: 10D1044981

Facility Name: NEW TAMPA MEDICAL CLINIC INC

Facility Address:
20431 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33647
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Facility Phone Number: 813 994-9995

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962686931

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 10D1044981
LAB Type Physician Office
Facility Name NEW TAMPA MEDICAL CLINIC INC
Street 20431 BRUCE B DOWNS BLVD
City TAMPA
State FL
ZIP 33647
Phone 813 994-9995
CertificateType 4
CertificateEffectiveDate 9/2/2023
CertificateExpirationDate 9/1/2025
FacilityType Waiver

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