10D2181740 CLIA NUMBER - FAIRBANKS PARTNERS LLC DBA ORLANDO NEUROSURGERY

Laboratory Demographics

CLIA Number: 10D2181740

Facility Name: FAIRBANKS PARTNERS LLC DBA ORLANDO NEUROSURGERY

Facility Address:
265 E ROLLINS STREET SUITE 12000
ORLANDO, FL
ZIP 32804
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Facility Phone Number: 407 975-0200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457735326

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name	Field Value
CLIA Number	10D2181740
LAB Type	Physician Office
Facility Name	FAIRBANKS PARTNERS LLC DBA ORLANDO NEUROSURGERY
Street	265 E ROLLINS STREET SUITE 12000
City	ORLANDO
State	FL
ZIP	32804
Phone	407 975-0200
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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