10D2114872 CLIA NUMBER - PHYSICIAN PARTNERS SPECIALTY SERVICES LLC

Laboratory Demographics

CLIA Number: 10D2114872

Facility Name: PHYSICIAN PARTNERS SPECIALTY SERVICES LLC

Facility Address:
1714 SW 17TH ST STE 400
OCALA, FL
ZIP 34471
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Facility Phone Number: 352 274-9455

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356688899

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2114872
LAB Type	Physician Office
Facility Name	PHYSICIAN PARTNERS SPECIALTY SERVICES LLC
Street	1714 SW 17TH ST STE 400
City	OCALA
State	FL
ZIP	34471
Phone	352 274-9455
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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