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10D1091403 CLIA NUMBER - JORGE L SERRA MD PA

Laboratory Demographics

CLIA Number: 10D1091403

Facility Name: JORGE L SERRA MD PA

Facility Address:
3501 HEALTH CENTER BLVD SUITE 2145
ESTERO, FL
ZIP 34135
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Facility Phone Number: 239 221-8475

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1841287208

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 10D1091403
LAB Type Mobile Laboratory
Facility Name JORGE L SERRA MD PA
Street 3501 HEALTH CENTER BLVD SUITE 2145
City ESTERO
State FL
ZIP 34135
Phone 239 221-8475
CertificateType 4
CertificateEffectiveDate 10/31/2022
CertificateExpirationDate 10/30/2024
FacilityType Waiver

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