10D2212840 CLIA NUMBER - OCEANSIDE MEDICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2212840

Facility Name: OCEANSIDE MEDICAL CENTER, LLC

Facility Address:
5915 N OCEANSHORE BLVD UNIT B
PALM COAST, FL
ZIP 32137
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Facility Phone Number: (386) 866-9393

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1205275146

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D2212840
LAB Type	PHYSICIAN OFFICE
Facility Name	OCEANSIDE MEDICAL CENTER, LLC
Street	5915 N OCEANSHORE BLVD UNIT B
City	PALM COAST
State	FL
ZIP	32137
Phone	(386) 866-9393

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