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10D2115487 CLIA NUMBER - REVAMED HEALTHCARE PARTNERS, LLC

Laboratory Demographics

CLIA Number: 10D2115487

Facility Name: REVAMED HEALTHCARE PARTNERS, LLC

Facility Address:
6056 BOYNTON BEACH BLVD, SUITE 115
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 708-1760

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720751142

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2115487
LAB Type Physician Office
Facility Name REVAMED HEALTHCARE PARTNERS, LLC
Street 6056 BOYNTON BEACH BLVD, SUITE 115
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 708-1760
CertificateType 4
CertificateEffectiveDate 7/8/2022
CertificateExpirationDate 7/7/2024
FacilityType Waiver

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