10D1055357 CLIA NUMBER - VINCENT J DIELLA DO

Laboratory Demographics

CLIA Number: 10D1055357

Facility Name: VINCENT J DIELLA DO

Facility Address:
703 VIRGINIA ST
DUNEDIN, FL
ZIP 34698
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Facility Phone Number: 727 734-4000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760471502

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	10D1055357
LAB Type	Physician Office
Facility Name	VINCENT J DIELLA DO
Street	703 VIRGINIA ST
City	DUNEDIN
State	FL
ZIP	34698
Phone	727 734-4000
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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