10D1093950 CLIA NUMBER - BALDWIN PARK FAMILY PRACTICE PA

Laboratory Demographics

CLIA Number: 10D1093950

Facility Name: BALDWIN PARK FAMILY PRACTICE PA

Facility Address:
1040 WOODCOCK RD STE 200
ORLANDO, FL
ZIP 32803
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Facility Phone Number: 407 898-4550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982613154

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	10D1093950
LAB Type	Physician Office
Facility Name	BALDWIN PARK FAMILY PRACTICE PA
Street	1040 WOODCOCK RD STE 200
City	ORLANDO
State	FL
ZIP	32803
Phone	407 898-4550
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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