10D1096566 CLIA NUMBER - FLORIDA CARDIOLOGY ASSOCIATES LLC

Laboratory Demographics

CLIA Number: 10D1096566

Facility Name: FLORIDA CARDIOLOGY ASSOCIATES LLC

Facility Address:
3543 LITTLE RD SUITE A
TRINITY, FL
ZIP 34655
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Facility Phone Number: 727 848-6400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104026467

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D1096566
LAB Type	Physician Office
Facility Name	FLORIDA CARDIOLOGY ASSOCIATES LLC
Street	3543 LITTLE RD SUITE A
City	TRINITY
State	FL
ZIP	34655
Phone	727 848-6400
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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