10D2170658 CLIA NUMBER - FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC DBA UF HEALTH PRIMARY CARE-WHETSTONE

Laboratory Demographics

CLIA Number: 10D2170658

Facility Name: FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC DBA UF HEALTH PRIMARY CARE-WHETSTONE

Facility Address:
100 WHETSTONE PLACE - STE 105
SAINT AUGUSTINE, FL
ZIP 32086
Get Directions

Facility Phone Number: 904 824-3777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891207551

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D2170658
LAB Type	Physician Office
Facility Name	FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC DBA UF HEALTH PRIMARY CARE-WHETSTONE
Street	100 WHETSTONE PLACE - STE 105
City	SAINT AUGUSTINE
State	FL
ZIP	32086
Phone	904 824-3777
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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