10D2273213 CLIA NUMBER - VITALBRIDGE HEALTH, PLLC

Laboratory Demographics

CLIA Number: 10D2273213

Facility Name: VITALBRIDGE HEALTH, PLLC

Facility Address:
1325 S CONGRESS AVENUE
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 823-1020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841913357

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	10D2273213
LAB Type	Physician Office
Facility Name	VITALBRIDGE HEALTH, PLLC
Street	1325 S CONGRESS AVENUE
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 823-1020
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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