10D2062475 CLIA NUMBER - WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA

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Laboratory Demographics

CLIA Number: 10D2062475

Facility Name: WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA

Facility Address:
1301 N LAWNWOOD CIRCLE
FORT PIERCE, FL
ZIP 34950
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Facility Phone Number: (772) 461-1191

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1164492005

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	10D2062475
LAB Type	PHYSICIAN OFFICE
Facility Name	WELLMED MEDICAL MANAGEMENT OF FLORIDA INC DBA
Street	1301 N LAWNWOOD CIRCLE
City	FORT PIERCE
State	FL
ZIP	34950
Phone	(772) 461-1191

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This page was last updated on: 5/11/2023