10D2031560 CLIA NUMBER - BELLIAMINOWA V JACKSON MD PA

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Laboratory Demographics

CLIA Number: 10D2031560

Facility Name: BELLIAMINOWA V JACKSON MD PA

Facility Address:
17761 SW 2ND ST
PEMBROKE PINES, FL
ZIP 33029
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Facility Phone Number: 786 484-0088

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528143732

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	10D2031560
LAB Type	Physician Office
Facility Name	BELLIAMINOWA V JACKSON MD PA
Street	17761 SW 2ND ST
City	PEMBROKE PINES
State	FL
ZIP	33029
Phone	786 484-0088
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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