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10D2151260 CLIA NUMBER - IVY SPINE AND ORTHOPEDICS

Laboratory Demographics

CLIA Number: 10D2151260

Facility Name: IVY SPINE AND ORTHOPEDICS

Facility Address:
742 HARRISON AVENUE
PANAMA CITY, FL
ZIP 32401
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Facility Phone Number: 850 628-7679

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1215433644

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 10D2151260
LAB Type Physician Office
Facility Name IVY SPINE AND ORTHOPEDICS
Street 742 HARRISON AVENUE
City PANAMA CITY
State FL
ZIP 32401
Phone 850 628-7679
CertificateType 4
CertificateEffectiveDate 7/17/2022
CertificateExpirationDate 7/16/2024
FacilityType Waiver

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