10D1077481 CLIA NUMBER - CENTRAL FLORIDA PAIN & REHAB CLINIC

Laboratory Demographics

CLIA Number: 10D1077481

Facility Name: CENTRAL FLORIDA PAIN & REHAB CLINIC

Facility Address:
3727 N GOLDEN ROD RD STE 103
WINTER PARK, FL
ZIP 32792
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Facility Phone Number: 407 384-9533

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982766838

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	10D1077481
LAB Type	Physician Office
Facility Name	CENTRAL FLORIDA PAIN & REHAB CLINIC
Street	3727 N GOLDEN ROD RD STE 103
City	WINTER PARK
State	FL
ZIP	32792
Phone	407 384-9533
CertificateType	4
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Waiver

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