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10D2227080 CLIA NUMBER - PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA, PL

Laboratory Demographics

CLIA Number: 10D2227080

Facility Name: PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA, PL

Facility Address:
18070 S TAMIAMI TRAIL - #108
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: 239 477-5180

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1821677659

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D2227080
LAB Type Physician Office
Facility Name PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA, PL
Street 18070 S TAMIAMI TRAIL - #108
City FORT MYERS
State FL
ZIP 33908
Phone 239 477-5180
CertificateType 4
CertificateEffectiveDate 6/8/2023
CertificateExpirationDate 6/7/2025
FacilityType Waiver

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