10D2107219 CLIA NUMBER - INTERNAL MEDICINE AND GERIATRIC HEALTH

Laboratory Demographics

CLIA Number: 10D2107219

Facility Name: INTERNAL MEDICINE AND GERIATRIC HEALTH

Facility Address:
1880 E COMMERCIAL BLVD STE 3
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 954 938-8998

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144426040

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	10D2107219
LAB Type	Physician Office
Facility Name	INTERNAL MEDICINE AND GERIATRIC HEALTH
Street	1880 E COMMERCIAL BLVD STE 3
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 938-8998
CertificateType	4
CertificateEffectiveDate	1/8/2024
CertificateExpirationDate	1/7/2026
FacilityType	Waiver

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