10D2205593 CLIA NUMBER - GREEN MOUNTAIN MED CON INC

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Laboratory Demographics

CLIA Number: 10D2205593

Facility Name: GREEN MOUNTAIN MED CON INC

Facility Address:
7855 NW 12 ST STE 203
DORAL, FL
ZIP 33126
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Facility Phone Number: (786) 580-4957

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1194330340

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	10D2205593
LAB Type	PHYSICIAN OFFICE
Facility Name	GREEN MOUNTAIN MED CON INC
Street	7855 NW 12 ST STE 203
City	DORAL
State	FL
ZIP	33126
Phone	(786) 580-4957

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This page was last updated on: 5/11/2023