10D2046871 CLIA NUMBER - JEANNE ELYSE CEDENO MD PA

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Laboratory Demographics

CLIA Number: 10D2046871

Facility Name: JEANNE ELYSE CEDENO MD PA

Facility Address:
1601 N PALM STE 102
PEMBROKE LAKES, FL
ZIP 33026
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Facility Phone Number: 754 273-6278

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184867202

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	10D2046871
LAB Type	Physician Office
Facility Name	JEANNE ELYSE CEDENO MD PA
Street	1601 N PALM STE 102
City	PEMBROKE LAKES
State	FL
ZIP	33026
Phone	754 273-6278
CertificateType	4
CertificateEffectiveDate	9/13/2022
CertificateExpirationDate	9/12/2024
FacilityType	Waiver

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