10D2019651 CLIA NUMBER - MY ENDOCRINOLOGIST PA

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Laboratory Demographics

CLIA Number: 10D2019651

Facility Name: MY ENDOCRINOLOGIST PA

Facility Address:
213 DILLARD ST STE 240
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 409-8067

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497059737

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2019651
LAB Type	Physician Office
Facility Name	MY ENDOCRINOLOGIST PA
Street	213 DILLARD ST STE 240
City	WINTER GARDEN
State	FL
ZIP	34787
Phone	407 409-8067
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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