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10D2215382 CLIA NUMBER - PRESTIGE PHYSICIANS LLC

Laboratory Demographics

CLIA Number: 10D2215382

Facility Name: PRESTIGE PHYSICIANS LLC

Facility Address:
1200 E BROWARD BLVD
FORT LAUDERDALE, FL
ZIP 33301
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Facility Phone Number: 954 771-0611

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1699217281

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2215382
LAB Type Physician Office
Facility Name PRESTIGE PHYSICIANS LLC
Street 1200 E BROWARD BLVD
City FORT LAUDERDALE
State FL
ZIP 33301
Phone 954 771-0611
CertificateType 4
CertificateEffectiveDate 3/3/2023
CertificateExpirationDate 3/2/2025
FacilityType Waiver

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