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10D2188258 CLIA NUMBER - RURAL PRIMARY CARE SOUTH INC-WALTON

Laboratory Demographics

CLIA Number: 10D2188258

Facility Name: RURAL PRIMARY CARE SOUTH INC-WALTON

Facility Address:
5551 HWY 98 SUITE 2
SANTA ROSA BEACH, FL
ZIP 32459
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Facility Phone Number: 850 420-5420

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1912545955

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2188258
LAB Type Physician Office
Facility Name RURAL PRIMARY CARE SOUTH INC-WALTON
Street 5551 HWY 98 SUITE 2
City SANTA ROSA BEACH
State FL
ZIP 32459
Phone 850 420-5420
CertificateType 4
CertificateEffectiveDate 7/15/2022
CertificateExpirationDate 7/14/2024
FacilityType Waiver

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