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10D1054473 CLIA NUMBER - IAN C BOYKIN MD

Laboratory Demographics

CLIA Number: 10D1054473

Facility Name: IAN C BOYKIN MD

Facility Address:
2000 NEBRASKA AVE
FORT PIERCE, FL
ZIP 34950
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Facility Phone Number: 772 465-4444

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1891772596

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 10D1054473
LAB Type Physician Office
Facility Name IAN C BOYKIN MD
Street 2000 NEBRASKA AVE
City FORT PIERCE
State FL
ZIP 34950
Phone 772 465-4444
CertificateType 4
CertificateEffectiveDate 12/19/2022
CertificateExpirationDate 12/18/2024
FacilityType Waiver

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