10D2145362 CLIA NUMBER - FLIP FLOP AND LOLLIPOPS PEDIATRICS, LLC

Laboratory Demographics

CLIA Number: 10D2145362

Facility Name: FLIP FLOP AND LOLLIPOPS PEDIATRICS, LLC

Facility Address:
22455 FLORA PARKE XING
FERNANDINA BEACH, FL
ZIP 32034
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Facility Phone Number: (904) 572-1884

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1013443423

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2145362
LAB Type	PHYSICIAN OFFICE
Facility Name	FLIP FLOP AND LOLLIPOPS PEDIATRICS, LLC
Street	22455 FLORA PARKE XING
City	FERNANDINA BEACH
State	FL
ZIP	32034
Phone	(904) 572-1884

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This page was last updated on: 5/11/2023