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10D2150006 CLIA NUMBER - PANAMA CITY SPRINGS WELLNESS & RECOVERY CTR DBA FLORIDA SPRINGS WELLNESS & RECOVERY CTR

Laboratory Demographics

CLIA Number: 10D2150006

Facility Name: PANAMA CITY SPRINGS WELLNESS & RECOVERY CTR DBA FLORIDA SPRINGS WELLNESS & RECOVERY CTR

Facility Address:
1212 WEST 19TH STREET
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 567-6164

Facility Type: Other - SUBSTANCE ABUSE

Certificate Type: Waiver
NPI Number: 1760981260

Taxonomy: 2084P0802X - Psychiatry & Neurology
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

CLIA Record

Field Name Field Value
CLIA Number 10D2150006
LAB Type Other - SUBSTANCE ABUSE
Facility Name PANAMA CITY SPRINGS WELLNESS & RECOVERY CTR DBA FLORIDA SPRINGS WELLNESS & RECOVERY CTR
Street 1212 WEST 19TH STREET
City PANAMA CITY
State FL
ZIP 32405
Phone 850 567-6164
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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