10D2135598 CLIA NUMBER - HOPE CENTERS OF CENTRAL FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D2135598

Facility Name: HOPE CENTERS OF CENTRAL FLORIDA, LLC

Facility Address:
101 E MILLER STREET
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 579-0212

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053764985

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	10D2135598
LAB Type	Physician Office
Facility Name	HOPE CENTERS OF CENTRAL FLORIDA, LLC
Street	101 E MILLER STREET
City	ORLANDO
State	FL
ZIP	32806
Phone	407 579-0212
CertificateType	4
CertificateEffectiveDate	8/24/2023
CertificateExpirationDate	8/23/2025
FacilityType	Waiver

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