10D2034499 CLIA NUMBER - FLORIDA PERSONAL INJURY PHYSICIANS

Laboratory Demographics

CLIA Number: 10D2034499

Facility Name: FLORIDA PERSONAL INJURY PHYSICIANS

Facility Address:
4132 20TH ST W
BRADENTON, FL
ZIP 34205
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Facility Phone Number: 941 752-1700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215060116

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 10D2034499
LAB Type Physician Office
Facility Name FLORIDA PERSONAL INJURY PHYSICIANS
Street 4132 20TH ST W
City BRADENTON
State FL
ZIP 34205
Phone 941 752-1700
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