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10D2228792 CLIA NUMBER - PHYSICIAN PRACTICES OF MSMC, LLC

Laboratory Demographics

CLIA Number: 10D2228792

Facility Name: PHYSICIAN PRACTICES OF MSMC, LLC

Facility Address:
4306 ALTON ROAD 3RD FLOOR
MIAMI BEACH, FL
ZIP 33140
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Facility Phone Number: 305 535-3464

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356630628

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 10D2228792
LAB Type Physician Office
Facility Name PHYSICIAN PRACTICES OF MSMC, LLC
Street 4306 ALTON ROAD 3RD FLOOR
City MIAMI BEACH
State FL
ZIP 33140
Phone 305 535-3464
CertificateType 4
CertificateEffectiveDate 7/1/2023
CertificateExpirationDate 6/30/2025
FacilityType Waiver

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