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10D1101281 CLIA NUMBER - CORAL REEF MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D1101281

Facility Name: CORAL REEF MEDICAL GROUP

Facility Address:
30334 OLD DIXIE HWY
HOMESTEAD, FL
ZIP 33033
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Facility Phone Number: 786 243-0149

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1982870143

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 10D1101281
LAB Type Physician Office
Facility Name CORAL REEF MEDICAL GROUP
Street 30334 OLD DIXIE HWY
City HOMESTEAD
State FL
ZIP 33033
Phone 786 243-0149
CertificateType 4
CertificateEffectiveDate 6/24/2023
CertificateExpirationDate 6/23/2025
FacilityType Waiver

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