10D2001607 CLIA NUMBER - PHYSICIANS TO WOMEN II LLC

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Laboratory Demographics

CLIA Number: 10D2001607

Facility Name: PHYSICIANS TO WOMEN II LLC

Facility Address:
1945 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34952
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Facility Phone Number: 561 300-2410

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1477120111

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2001607
LAB Type	Physician Office
Facility Name	PHYSICIANS TO WOMEN II LLC
Street	1945 SE PORT ST LUCIE BLVD
City	PORT SAINT LUCIE
State	FL
ZIP	34952
Phone	561 300-2410
CertificateType	3
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	PPMP

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