10D2101376 CLIA NUMBER - HECTOR L DICARLO MD

Laboratory Demographics

CLIA Number: 10D2101376

Facility Name: HECTOR L DICARLO MD

Facility Address:
500 SE 17TH ST STE 110
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 533-1173

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356597785

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	10D2101376
LAB Type	Physician Office
Facility Name	HECTOR L DICARLO MD
Street	500 SE 17TH ST STE 110
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	954 533-1173
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

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