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10D2118439 CLIA NUMBER - HCA FLORIDA FAWCETT SURGICAL SPECIALISTS

Laboratory Demographics

CLIA Number: 10D2118439

Facility Name: HCA FLORIDA FAWCETT SURGICAL SPECIALISTS

Facility Address:
21260 OLEAN BLVD STE 204
PORT CHARLOTTE, FL
ZIP 33952
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Facility Phone Number: 941 235-9361

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1588618367

Taxonomy: 273Y00000X - Rehabilitation Unit
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

CLIA Record

Field Name Field Value
CLIA Number 10D2118439
LAB Type Physician Office
Facility Name HCA FLORIDA FAWCETT SURGICAL SPECIALISTS
Street 21260 OLEAN BLVD STE 204
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 235-9361
CertificateType 4
CertificateEffectiveDate 9/8/2022
CertificateExpirationDate 9/7/2024
FacilityType Waiver

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