10D2285802 CLIA NUMBER - CENTAUR MEDICAL CENTER PLLC

Laboratory Demographics

CLIA Number: 10D2285802

Facility Name: CENTAUR MEDICAL CENTER PLLC

Facility Address:
100 W GORE ST SUITE 605
ORLANDO, FL
ZIP 32839
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Facility Phone Number: 407 271-4731

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912685413

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	10D2285802
LAB Type	Physician Office
Facility Name	CENTAUR MEDICAL CENTER PLLC
Street	100 W GORE ST SUITE 605
City	ORLANDO
State	FL
ZIP	32839
Phone	407 271-4731
CertificateType	4
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	Waiver

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