Healther Providers Data Logo

10D1047862 CLIA NUMBER - NORTH BREVARD MEDICAL SUPPORT INC DBA PARRISH MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D1047862

Facility Name: NORTH BREVARD MEDICAL SUPPORT INC DBA PARRISH MEDICAL GROUP

Facility Address:
5005 PORT ST JOHN PKWY STE 2500
PORT SAINT JOHN, FL
ZIP 32927
Get Directions

Facility Phone Number: 321 504-0556

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033883764

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D1047862
LAB Type Physician Office
Facility Name NORTH BREVARD MEDICAL SUPPORT INC DBA PARRISH MEDICAL GROUP
Street 5005 PORT ST JOHN PKWY STE 2500
City PORT SAINT JOHN
State FL
ZIP 32927
Phone 321 504-0556
CertificateType 4
CertificateEffectiveDate 11/16/2023
CertificateExpirationDate 11/15/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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