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10D2063496 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF ENGELWOOD PARK

Laboratory Demographics

CLIA Number: 10D2063496

Facility Name: CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF ENGELWOOD PARK

Facility Address:
737 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
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Facility Phone Number: 321 247-4960

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1558912659

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 10D2063496
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (FL) INC DBA CENTERWELL SR PRIMARY CARE OF ENGELWOOD PARK
Street 737 S SEMORAN BLVD
City ORLANDO
State FL
ZIP 32807
Phone 321 247-4960
CertificateType 4
CertificateEffectiveDate 8/5/2023
CertificateExpirationDate 8/4/2025
FacilityType Waiver

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