10D2069329 CLIA NUMBER - BENNETT PEDIATRICS LLC

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Laboratory Demographics

CLIA Number: 10D2069329

Facility Name: BENNETT PEDIATRICS LLC

Facility Address:
425 CITRUS TOWER BLVD STE 104
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 404-7728

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1992131080

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D2069329
LAB Type	Practitioner Other
Facility Name	BENNETT PEDIATRICS LLC
Street	425 CITRUS TOWER BLVD STE 104
City	CLERMONT
State	FL
ZIP	34711
Phone	352 404-7728
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

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