10D2192838 CLIA NUMBER - MARTIN AGUERO, MD

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Laboratory Demographics

CLIA Number: 10D2192838

Facility Name: MARTIN AGUERO, MD

Facility Address:
3005 CARING WAY - STE 3
PORT CHARLOTTE, FL
ZIP 33952
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Facility Phone Number: 939 242-5987

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003302290

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2192838
LAB Type	Physician Office
Facility Name	MARTIN AGUERO, MD
Street	3005 CARING WAY - STE 3
City	PORT CHARLOTTE
State	FL
ZIP	33952
Phone	939 242-5987
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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