10D2155113 CLIA NUMBER - AMERICAN CARE OF NORTH FLORIDA, INC

Laboratory Demographics

CLIA Number: 10D2155113

Facility Name: AMERICAN CARE OF NORTH FLORIDA, INC

Facility Address:
400 E DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33603
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Facility Phone Number: 305 278-0200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932739596

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2155113
LAB Type	Physician Office
Facility Name	AMERICAN CARE OF NORTH FLORIDA, INC
Street	400 E DR MARTIN LUTHER KING JR BLVD
City	TAMPA
State	FL
ZIP	33603
Phone	305 278-0200
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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