10D2093254 CLIA NUMBER - INFECTIOUS DISEASE ASSOCIATES OF TAMPA BAY

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Laboratory Demographics

CLIA Number: 10D2093254

Facility Name: INFECTIOUS DISEASE ASSOCIATES OF TAMPA BAY

Facility Address:
5504 GATEWAY BLVD STE 102
WESLEY CHAPEL, FL
ZIP 33544
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Facility Phone Number: 813 251-8444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033192661

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	10D2093254
LAB Type	Physician Office
Facility Name	INFECTIOUS DISEASE ASSOCIATES OF TAMPA BAY
Street	5504 GATEWAY BLVD STE 102
City	WESLEY CHAPEL
State	FL
ZIP	33544
Phone	813 251-8444
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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