10D2117558 CLIA NUMBER - ATLANTIC MEN'S CLINIC BOCA RATON, LLC

Laboratory Demographics

CLIA Number: 10D2117558

Facility Name: ATLANTIC MEN'S CLINIC BOCA RATON, LLC

Facility Address:
2201 NW CORPORATE BLVD STE 100
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: 561 285-8797

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1578884391

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D2117558
LAB Type	Physician Office
Facility Name	ATLANTIC MEN'S CLINIC BOCA RATON, LLC
Street	2201 NW CORPORATE BLVD STE 100
City	BOCA RATON
State	FL
ZIP	33431
Phone	561 285-8797
CertificateType	2
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Compliance

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