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10D2192876 CLIA NUMBER - PRIMARY CARE SPECIALIST OF SOUTH FLORIDA

Laboratory Demographics

CLIA Number: 10D2192876

Facility Name: PRIMARY CARE SPECIALIST OF SOUTH FLORIDA

Facility Address:
4850 W OAKLAND PARK BLVD, STE 143
LAUDERDALE LAKES, FL
ZIP 33313
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Facility Phone Number: 786 275-3725

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962995845

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 10D2192876
LAB Type Physician Office
Facility Name PRIMARY CARE SPECIALIST OF SOUTH FLORIDA
Street 4850 W OAKLAND PARK BLVD, STE 143
City LAUDERDALE LAKES
State FL
ZIP 33313
Phone 786 275-3725
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