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10D2233194 CLIA NUMBER - PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE

Laboratory Demographics

CLIA Number: 10D2233194

Facility Name: PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE

Facility Address:
2810 MANATEE AVENUE E
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 860 519-2376

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1851617427

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 10D2233194
LAB Type Physician Office
Facility Name PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE
Street 2810 MANATEE AVENUE E
City BRADENTON
State FL
ZIP 34208
Phone 860 519-2376
CertificateType 4
CertificateEffectiveDate 8/20/2023
CertificateExpirationDate 8/19/2025
FacilityType Waiver

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