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10D2273612 CLIA NUMBER - PRIMARY CARE NURSE PRACTITIONERS LLC

Laboratory Demographics

CLIA Number: 10D2273612

Facility Name: PRIMARY CARE NURSE PRACTITIONERS LLC

Facility Address:
2208 KENTUCKY DERBY DR
ORLANDO, FL
ZIP 32825
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Facility Phone Number: 407 579-1450

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1811618382

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 10D2273612
LAB Type Practitioner Other
Facility Name PRIMARY CARE NURSE PRACTITIONERS LLC
Street 2208 KENTUCKY DERBY DR
City ORLANDO
State FL
ZIP 32825
Phone 407 579-1450
CertificateType 4
CertificateEffectiveDate 12/15/2022
CertificateExpirationDate 12/14/2024
FacilityType Waiver

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