10D2267300 CLIA NUMBER - TRUDELL DOCTOR MD AND ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 10D2267300

Facility Name: TRUDELL DOCTOR MD AND ASSOCIATES, LLC

Facility Address:
6080 BOYNTON BEACH BLVD SUITE 230
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 807-7780

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609001106

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	10D2267300
LAB Type	Physician Office
Facility Name	TRUDELL DOCTOR MD AND ASSOCIATES, LLC
Street	6080 BOYNTON BEACH BLVD SUITE 230
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 807-7780
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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