10D2004323 CLIA NUMBER - PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL

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Laboratory Demographics

CLIA Number: 10D2004323

Facility Name: PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL

Facility Address:
4202 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904
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Facility Phone Number: 239 471-2125

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1942688767

Taxonomy: 2081N0008X - Physical Medicine & Rehabilitation
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.

CLIA Record

Field Name	Field Value
CLIA Number	10D2004323
LAB Type	Practitioner Other
Facility Name	PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL
Street	4202 DEL PRADO BLVD S
City	CAPE CORAL
State	FL
ZIP	33904
Phone	239 471-2125
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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