10D2154201 CLIA NUMBER - ORLANDO EPILEPSY CENTER, INC

Laboratory Demographics

CLIA Number: 10D2154201

Facility Name: ORLANDO EPILEPSY CENTER, INC

Facility Address:
226 W MICHIGAN ST
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 704-8380

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043523061

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2154201
LAB Type	Physician Office
Facility Name	ORLANDO EPILEPSY CENTER, INC
Street	226 W MICHIGAN ST
City	ORLANDO
State	FL
ZIP	32806
Phone	407 704-8380
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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