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10D2274988 CLIA NUMBER - HEALTH FIRST PRIMARY CARE, LLC

Laboratory Demographics

CLIA Number: 10D2274988

Facility Name: HEALTH FIRST PRIMARY CARE, LLC

Facility Address:
3890 TURTLE CREEK DR - STE C
PORT ORANGE, FL
ZIP 32127
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Facility Phone Number: 386 756-4400

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326617614

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 10D2274988
LAB Type Physician Office
Facility Name HEALTH FIRST PRIMARY CARE, LLC
Street 3890 TURTLE CREEK DR - STE C
City PORT ORANGE
State FL
ZIP 32127
Phone 386 756-4400
CertificateType 4
CertificateEffectiveDate 1/13/2023
CertificateExpirationDate 1/12/2025
FacilityType Waiver

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