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10D1059336 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF LAKE UNDERHILL

Laboratory Demographics

CLIA Number: 10D1059336

Facility Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF LAKE UNDERHILL

Facility Address:
10829 DYLAN LOREN CIRCLE
ORLANDO, FL
ZIP 32825
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Facility Phone Number: 321 235-6434

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1467521302

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 10D1059336
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF LAKE UNDERHILL
Street 10829 DYLAN LOREN CIRCLE
City ORLANDO
State FL
ZIP 32825
Phone 321 235-6434
CertificateType 4
CertificateEffectiveDate 9/27/2022
CertificateExpirationDate 9/26/2024
FacilityType Waiver

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