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10D2179815 CLIA NUMBER - ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D2179815

Facility Name: ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC

Facility Address:
3131 N MCMULLEN BOOTH RD 2ND FL
CLEARWATER, FL
ZIP 33761
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Facility Phone Number: 813 879-8045

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1760553622

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 10D2179815
LAB Type Physician Office
Facility Name ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC
Street 3131 N MCMULLEN BOOTH RD 2ND FL
City CLEARWATER
State FL
ZIP 33761
Phone 813 879-8045
CertificateType 4
CertificateEffectiveDate 3/3/2024
CertificateExpirationDate 3/2/2026
FacilityType Waiver

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