10D2179204 CLIA NUMBER - TREASURE COAST NEPHROLOGY

Laboratory Demographics

CLIA Number: 10D2179204

Facility Name: TREASURE COAST NEPHROLOGY

Facility Address:
2000 HARTMAN ROAD STE 1
FORT PIERCE, FL
ZIP 34947
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Facility Phone Number: (772) 465-1170

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1922645324

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	10D2179204
LAB Type	PHYSICIAN OFFICE
Facility Name	TREASURE COAST NEPHROLOGY
Street	2000 HARTMAN ROAD STE 1
City	FORT PIERCE
State	FL
ZIP	34947
Phone	(772) 465-1170

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