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10D1084290 CLIA NUMBER - JOLITA KLEMENTAVICIENE MD PA

Laboratory Demographics

CLIA Number: 10D1084290

Facility Name: JOLITA KLEMENTAVICIENE MD PA

Facility Address:
1118 GULF BREEZE PKWY STE 205
GULF BREEZE, FL
ZIP 32561
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Facility Phone Number: 850 934-9050

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1053301101

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 10D1084290
LAB Type Physician Office
Facility Name JOLITA KLEMENTAVICIENE MD PA
Street 1118 GULF BREEZE PKWY STE 205
City GULF BREEZE
State FL
ZIP 32561
Phone 850 934-9050
CertificateType 4
CertificateEffectiveDate 5/20/2022
CertificateExpirationDate 5/19/2024
FacilityType Waiver

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