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10D2034753 CLIA NUMBER - WEST FLORIDA MEDICAL ASSOCIATE DBA DEVEN MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2034753

Facility Name: WEST FLORIDA MEDICAL ASSOCIATE DBA DEVEN MEDICAL CENTER

Facility Address:
11707 N WILLIAMS ST STE 2
DUNNELLON, FL
ZIP 34432
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Facility Phone Number: 352 465-1199

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1265688295

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2034753
LAB Type Physician Office
Facility Name WEST FLORIDA MEDICAL ASSOCIATE DBA DEVEN MEDICAL CENTER
Street 11707 N WILLIAMS ST STE 2
City DUNNELLON
State FL
ZIP 34432
Phone 352 465-1199
CertificateType 4
CertificateEffectiveDate 1/4/2024
CertificateExpirationDate 1/3/2026
FacilityType Waiver

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