10D2093396 CLIA NUMBER - JDPREMIUM HEALTHCARE LLC

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Laboratory Demographics

CLIA Number: 10D2093396

Facility Name: JDPREMIUM HEALTHCARE LLC

Facility Address:
14 W JORDAN ST SUITE 1J
PENSACOLA, FL
ZIP 32501
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Facility Phone Number: (850) 281-2174

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1538557608

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	10D2093396
LAB Type	OTHER PRACTITIONER
Facility Name	JDPREMIUM HEALTHCARE LLC
Street	14 W JORDAN ST SUITE 1J
City	PENSACOLA
State	FL
ZIP	32501
Phone	(850) 281-2174

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This page was last updated on: 5/11/2023