10D1096129 CLIA NUMBER - MICHAEL R ALEXANDER MD PA

Laboratory Demographics

CLIA Number: 10D1096129

Facility Name: MICHAEL R ALEXANDER MD PA

Facility Address:
7390 NW 5 ST STE 3
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 424-3414

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497958185

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 10D1096129
LAB Type Physician Office
Facility Name MICHAEL R ALEXANDER MD PA
Street 7390 NW 5 ST STE 3
City PLANTATION
State FL
ZIP 33317
Phone 954 424-3414
CertificateType 4
CertificateEffectiveDate 2/25/2023
CertificateExpirationDate 2/24/2025
FacilityType Waiver

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