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10D2092885 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT LAKE NONA

Laboratory Demographics

CLIA Number: 10D2092885

Facility Name: ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT LAKE NONA

Facility Address:
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL
ZIP 32827
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Facility Phone Number: 407 930-7801

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1942873476

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 10D2092885
LAB Type Physician Office
Facility Name ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT LAKE NONA
Street 9975 TAVISTOCK LAKES BLVD STE 220
City ORLANDO
State FL
ZIP 32827
Phone 407 930-7801
CertificateType 4
CertificateEffectiveDate 1/6/2023
CertificateExpirationDate 1/5/2025
FacilityType Waiver

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