10D2152778 CLIA NUMBER - ASSOCIATESMD MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D2152778

Facility Name: ASSOCIATESMD MEDICAL GROUP INC

Facility Address:
2122 NW 62ND ST STE 110
FORT LAUDERDALE, FL
ZIP 33309
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Facility Phone Number: (954) 345-4606

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1063999878

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2152778
LAB Type	PHYSICIAN OFFICE
Facility Name	ASSOCIATESMD MEDICAL GROUP INC
Street	2122 NW 62ND ST STE 110
City	FORT LAUDERDALE
State	FL
ZIP	33309
Phone	(954) 345-4606

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