10D1063712 CLIA NUMBER - FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D1063712

Facility Name: FAMILY MEDICAL CENTER

Facility Address:
3120 W HILLSBOROUGH AVE
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 877-7773

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023153962

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 10D1063712
LAB Type Physician Office
Facility Name FAMILY MEDICAL CENTER
Street 3120 W HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33614
Phone 813 877-7773
CertificateType 4
CertificateEffectiveDate 1/19/2023
CertificateExpirationDate 1/18/2025
FacilityType Waiver

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