10D1065577 CLIA NUMBER - HCA FLORIDA WEST PRIMARY CARE

Laboratory Demographics

CLIA Number: 10D1065577

Facility Name: HCA FLORIDA WEST PRIMARY CARE

Facility Address:
2360 US HWY 29 SOUTH
CANTONMENT, FL
ZIP 32533
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Facility Phone Number: 850 968-2083

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1386781342

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	10D1065577
LAB Type	Physician Office
Facility Name	HCA FLORIDA WEST PRIMARY CARE
Street	2360 US HWY 29 SOUTH
City	CANTONMENT
State	FL
ZIP	32533
Phone	850 968-2083
CertificateType	3
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	PPMP

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