10D2126226 CLIA NUMBER - WEST ORANGE ENDOCRINOLGY PA

Laboratory Demographics

CLIA Number: 10D2126226

Facility Name: WEST ORANGE ENDOCRINOLGY PA

Facility Address:
1510 CITRUS MEDICAL COURT
OCOEE, FL
ZIP 34761
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Facility Phone Number: 407 480-4830

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225688237

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2126226
LAB Type	Physician Office
Facility Name	WEST ORANGE ENDOCRINOLGY PA
Street	1510 CITRUS MEDICAL COURT
City	OCOEE
State	FL
ZIP	34761
Phone	407 480-4830
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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