10D2277648 CLIA NUMBER - ADVENTHEALTH PRIIMARY CARE + FLAMINGO CROSSINGS

Laboratory Demographics

CLIA Number: 10D2277648

Facility Name: ADVENTHEALTH PRIIMARY CARE + FLAMINGO CROSSINGS

Facility Address:
153 SUGAR BELLE DRIVE SUITE J
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 200-2300

Facility Type: Other - PRIMARY CARE

Certificate Type: Waiver

NPI Number: 1083359061

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 10D2277648
LAB Type Other - PRIMARY CARE
Facility Name ADVENTHEALTH PRIIMARY CARE + FLAMINGO CROSSINGS
Street 153 SUGAR BELLE DRIVE SUITE J
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 200-2300
CertificateType 4
CertificateEffectiveDate 3/2/2023
CertificateExpirationDate 3/1/2025
FacilityType Waiver

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