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10D2263482 CLIA NUMBER - MIAMI BEACH MEDICAL CONSULTANTS DBA/CLINICAL CARE MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 10D2263482

Facility Name: MIAMI BEACH MEDICAL CONSULTANTS DBA/CLINICAL CARE MEDICAL CENTERS

Facility Address:
1303 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
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Facility Phone Number: 813 834-7975

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1336897461

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 10D2263482
LAB Type Physician Office
Facility Name MIAMI BEACH MEDICAL CONSULTANTS DBA/CLINICAL CARE MEDICAL CENTERS
Street 1303 S SEMORAN BLVD
City ORLANDO
State FL
ZIP 32807
Phone 813 834-7975
CertificateType 4
CertificateEffectiveDate 6/29/2022
CertificateExpirationDate 6/28/2024
FacilityType Waiver

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