10D2076249 CLIA NUMBER - CLEOPATRA GORDON PUSEY MD PA

Home > CLIA Lookup > 10D2076249

Laboratory Demographics

CLIA Number: 10D2076249

Facility Name: CLEOPATRA GORDON PUSEY MD PA

Facility Address:
222 S FLAMINGO RD
PEMBROKE PINES, FL
ZIP 33027
Get Directions

Facility Phone Number: 954 442-0029

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740502228

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	10D2076249
LAB Type	Physician Office
Facility Name	CLEOPATRA GORDON PUSEY MD PA
Street	222 S FLAMINGO RD
City	PEMBROKE PINES
State	FL
ZIP	33027
Phone	954 442-0029
CertificateType	4
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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