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10D2144378 CLIA NUMBER - PRIMARY CARE SERVICES AT INDIAN RIVER ESTATES

Laboratory Demographics

CLIA Number: 10D2144378

Facility Name: PRIMARY CARE SERVICES AT INDIAN RIVER ESTATES

Facility Address:
7730 INDIAN OAKS DRIVE
VERO BEACH, FL
ZIP 32966
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Facility Phone Number: 267 787-4134

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1972048411

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2144378
LAB Type Physician Office
Facility Name PRIMARY CARE SERVICES AT INDIAN RIVER ESTATES
Street 7730 INDIAN OAKS DRIVE
City VERO BEACH
State FL
ZIP 32966
Phone 267 787-4134
CertificateType 4
CertificateEffectiveDate 2/15/2024
CertificateExpirationDate 2/14/2026
FacilityType Waiver

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