10D2123699 CLIA NUMBER - ADVANCED PAIN MANAGEMENT CENTER

Laboratory Demographics

CLIA Number: 10D2123699

Facility Name: ADVANCED PAIN MANAGEMENT CENTER

Facility Address:
1447 OAKFIELD BLVD
BRANDON, FL
ZIP 33511
Get Directions

Facility Phone Number: 352 596-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639112469

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2123699
LAB Type	Physician Office
Facility Name	ADVANCED PAIN MANAGEMENT CENTER
Street	1447 OAKFIELD BLVD
City	BRANDON
State	FL
ZIP	33511
Phone	352 596-9200
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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