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10D1093123 CLIA NUMBER - MY PEDIATRICIAN PA

Laboratory Demographics

CLIA Number: 10D1093123

Facility Name: MY PEDIATRICIAN PA

Facility Address:
1037 PROFESSIONAL PARK DR
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 684-5659

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1619128675

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D1093123
LAB Type Physician Office
Facility Name MY PEDIATRICIAN PA
Street 1037 PROFESSIONAL PARK DR
City BRANDON
State FL
ZIP 33511
Phone 813 684-5659
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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