10D2155435 CLIA NUMBER - WEST CENTRAL GASTROENTEROLOGY LLC DBA GASTRO FLORIDA

Laboratory Demographics

CLIA Number: 10D2155435

Facility Name: WEST CENTRAL GASTROENTEROLOGY LLC DBA GASTRO FLORIDA

Facility Address:
11912 SHELDON RD
TAMPA, FL
ZIP 33626
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Facility Phone Number: 727 347-0005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144454703

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2155435
LAB Type	Physician Office
Facility Name	WEST CENTRAL GASTROENTEROLOGY LLC DBA GASTRO FLORIDA
Street	11912 SHELDON RD
City	TAMPA
State	FL
ZIP	33626
Phone	727 347-0005
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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