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10D2075181 CLIA NUMBER - COASTAL INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 10D2075181

Facility Name: COASTAL INTERNAL MEDICINE

Facility Address:
12007 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL
ZIP 32407
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Facility Phone Number: 850 234-5151

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1184163909

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 10D2075181
LAB Type Physician Office
Facility Name COASTAL INTERNAL MEDICINE
Street 12007 PANAMA CITY BEACH PKWY
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 234-5151
CertificateType 4
CertificateEffectiveDate 3/25/2024
CertificateExpirationDate 3/24/2026
FacilityType Waiver

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