10D2198971 CLIA NUMBER - NEUROLOGY OF CENTRAL FLORIDA RESEARCH CENTER

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Laboratory Demographics

CLIA Number: 10D2198971

Facility Name: NEUROLOGY OF CENTRAL FLORIDA RESEARCH CENTER

Facility Address:
405 W CENTRAL PKWY SUITE 1010
ALTAMONTE SPRINGS, FL
ZIP 32714
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Facility Phone Number: 407 790-4990

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417388455

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2198971
LAB Type	Physician Office
Facility Name	NEUROLOGY OF CENTRAL FLORIDA RESEARCH CENTER
Street	405 W CENTRAL PKWY SUITE 1010
City	ALTAMONTE SPRINGS
State	FL
ZIP	32714
Phone	407 790-4990
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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