10D2200543 CLIA NUMBER - HUNEYCUTT FAMILY PRACTICE

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Laboratory Demographics

CLIA Number: 10D2200543

Facility Name: HUNEYCUTT FAMILY PRACTICE

Facility Address:
681 DOUGLAS AVE STE 109
ALTAMONTE SPRINGS, FL
ZIP 32714
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Facility Phone Number: 407 921-9141

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144848441

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	10D2200543
LAB Type	Physician Office
Facility Name	HUNEYCUTT FAMILY PRACTICE
Street	681 DOUGLAS AVE STE 109
City	ALTAMONTE SPRINGS
State	FL
ZIP	32714
Phone	407 921-9141
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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