10D2235774 CLIA NUMBER - ATLAS INFECTIOUS DISEASE PRACTICE PLLC

Laboratory Demographics

CLIA Number: 10D2235774

Facility Name: ATLAS INFECTIOUS DISEASE PRACTICE PLLC

Facility Address:
5401 S CONGRESS AVENUE SUITE 201
ATLANTIS, FL
ZIP 33462
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Facility Phone Number: 561 995-6971

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326655846

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	10D2235774
LAB Type	Physician Office
Facility Name	ATLAS INFECTIOUS DISEASE PRACTICE PLLC
Street	5401 S CONGRESS AVENUE SUITE 201
City	ATLANTIS
State	FL
ZIP	33462
Phone	561 995-6971
CertificateType	4
CertificateEffectiveDate	9/13/2023
CertificateExpirationDate	9/12/2025
FacilityType	Waiver

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