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10D2034490 CLIA NUMBER - ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA PA DBA PAIN RELIEF CENTER OF FLORIDA

Laboratory Demographics

CLIA Number: 10D2034490

Facility Name: ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA PA DBA PAIN RELIEF CENTER OF FLORIDA

Facility Address:
100 3RD AVE WEST STE 110
BRADENTON, FL
ZIP 34205
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Facility Phone Number: 941 708-9555

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1982815080

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 10D2034490
LAB Type Physician Office
Facility Name ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA PA DBA PAIN RELIEF CENTER OF FLORIDA
Street 100 3RD AVE WEST STE 110
City BRADENTON
State FL
ZIP 34205
Phone 941 708-9555
CertificateType 4
CertificateEffectiveDate 12/27/2023
CertificateExpirationDate 12/26/2025
FacilityType Waiver

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