10D2015173 CLIA NUMBER - PALMA CEIA HEART AND VASCULAR

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Laboratory Demographics

CLIA Number: 10D2015173

Facility Name: PALMA CEIA HEART AND VASCULAR

Facility Address:
2919 W SWANN AVE STE 102
TAMPA, FL
ZIP 33609
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Facility Phone Number: 813 870-3971

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245453679

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2015173
LAB Type	Physician Office
Facility Name	PALMA CEIA HEART AND VASCULAR
Street	2919 W SWANN AVE STE 102
City	TAMPA
State	FL
ZIP	33609
Phone	813 870-3971
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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