10D2228706 CLIA NUMBER - PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA PL

Laboratory Demographics

CLIA Number: 10D2228706

Facility Name: PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA PL

Facility Address:
13195 METRO PARKWAY - STE 8
FORT MYERS, FL
ZIP 33966
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Facility Phone Number: 239 477-5180

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104259035

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	10D2228706
LAB Type	Physician Office
Facility Name	PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA PL
Street	13195 METRO PARKWAY - STE 8
City	FORT MYERS
State	FL
ZIP	33966
Phone	239 477-5180
CertificateType	4
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	Waiver

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