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10D1106775 CLIA NUMBER - WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT ST CLOUD

Laboratory Demographics

CLIA Number: 10D1106775

Facility Name: WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT ST CLOUD

Facility Address:
4513 OLD CANOE CREEK RD
SAINT CLOUD, FL
ZIP 34769
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Facility Phone Number: 407 498-0461

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811918709

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 10D1106775
LAB Type Physician Office
Facility Name WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA WELLMED AT ST CLOUD
Street 4513 OLD CANOE CREEK RD
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 498-0461
CertificateType 4
CertificateEffectiveDate 10/22/2023
CertificateExpirationDate 10/21/2025
FacilityType Waiver

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