10D2044864 CLIA NUMBER - KM FAMILY PHYSICIAN LLC

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Laboratory Demographics

CLIA Number: 10D2044864

Facility Name: KM FAMILY PHYSICIAN LLC

Facility Address:
101 W KALEY ST
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 872-8491

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356601702

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2044864
LAB Type	Physician Office
Facility Name	KM FAMILY PHYSICIAN LLC
Street	101 W KALEY ST
City	ORLANDO
State	FL
ZIP	32806
Phone	407 872-8491
CertificateType	4
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Waiver

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