10D2195914 CLIA NUMBER - SOOKDEO FAMILY MEDICINE, INC

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Laboratory Demographics

CLIA Number: 10D2195914

Facility Name: SOOKDEO FAMILY MEDICINE, INC

Facility Address:
14101 W COLONIAL DR
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 395-2004

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710513791

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	10D2195914
LAB Type	Physician Office
Facility Name	SOOKDEO FAMILY MEDICINE, INC
Street	14101 W COLONIAL DR
City	WINTER GARDEN
State	FL
ZIP	34787
Phone	407 395-2004
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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