10D1060168 CLIA NUMBER - ORLANDO FAMILY PRACTICE CARE PA

Laboratory Demographics

CLIA Number: 10D1060168

Facility Name: ORLANDO FAMILY PRACTICE CARE PA

Facility Address:
10967 LAKE UNDERHILL RD STE 122
ORLANDO, FL
ZIP 32825
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Facility Phone Number: 407 282-3131

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689765265

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	10D1060168
LAB Type	Physician Office
Facility Name	ORLANDO FAMILY PRACTICE CARE PA
Street	10967 LAKE UNDERHILL RD STE 122
City	ORLANDO
State	FL
ZIP	32825
Phone	407 282-3131
CertificateType	4
CertificateEffectiveDate	8/1/2022
CertificateExpirationDate	7/31/2024
FacilityType	Waiver

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