10D2014319 CLIA NUMBER - SUSAN F WILLIAMS MD PA

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Laboratory Demographics

CLIA Number: 10D2014319

Facility Name: SUSAN F WILLIAMS MD PA

Facility Address:
17928 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL
ZIP 33948
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Facility Phone Number: 941 743-7337

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790742658

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D2014319
LAB Type	Physician Office
Facility Name	SUSAN F WILLIAMS MD PA
Street	17928 TOLEDO BLADE BLVD
City	PORT CHARLOTTE
State	FL
ZIP	33948
Phone	941 743-7337
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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