10D2010989 CLIA NUMBER - THOMAS A DIGERONIMO MD PA BOARD CERTIFIED & GLENN TURNER ARNP NEUROLOGY

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Laboratory Demographics

CLIA Number: 10D2010989

Facility Name: THOMAS A DIGERONIMO MD PA BOARD CERTIFIED & GLENN TURNER ARNP NEUROLOGY

Facility Address:
3302 W BAKER ST
PLANT CITY, FL
ZIP 33563
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Facility Phone Number: 813 752-1336

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134102973

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2010989
LAB Type	Physician Office
Facility Name	THOMAS A DIGERONIMO MD PA BOARD CERTIFIED & GLENN TURNER ARNP NEUROLOGY
Street	3302 W BAKER ST
City	PLANT CITY
State	FL
ZIP	33563
Phone	813 752-1336
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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