10D2119822 CLIA NUMBER - GASTROENTEROLY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA

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Laboratory Demographics

CLIA Number: 10D2119822

Facility Name: GASTROENTEROLY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA

Facility Address:
603 N FLAMINGO RD STE 258
PEMBROKE PINES, FL
ZIP 33028
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Facility Phone Number: 954 430-2343

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942244868

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2119822
LAB Type	Physician Office
Facility Name	GASTROENTEROLY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA
Street	603 N FLAMINGO RD STE 258
City	PEMBROKE PINES
State	FL
ZIP	33028
Phone	954 430-2343
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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