10D2192645 CLIA NUMBER - RW FAMILY PRACTICE & PREVENTIVE CARE LLC

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Laboratory Demographics

CLIA Number: 10D2192645

Facility Name: RW FAMILY PRACTICE & PREVENTIVE CARE LLC

Facility Address:
6735 CONROY RD SUITE 418
ORLANDO, FL
ZIP 32835
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Facility Phone Number: 407 420-7374

Facility Type: Other - FAMILY PRACTICE

Certificate Type: Waiver

NPI Number: 1609484336

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2192645
LAB Type	Other - FAMILY PRACTICE
Facility Name	RW FAMILY PRACTICE & PREVENTIVE CARE LLC
Street	6735 CONROY RD SUITE 418
City	ORLANDO
State	FL
ZIP	32835
Phone	407 420-7374
CertificateType	4
CertificateEffectiveDate	9/12/2022
CertificateExpirationDate	9/11/2024
FacilityType	Waiver

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