10D2287829 CLIA NUMBER - PREMIER SPECIALTY ALLIANCE INC

Laboratory Demographics

CLIA Number: 10D2287829

Facility Name: PREMIER SPECIALTY ALLIANCE INC

Facility Address:
1511 BUENOS AIRES BLVD
THE VILLAGES, FL
ZIP 32159
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Facility Phone Number: 352 362-0627

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1477970606

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	10D2287829
LAB Type	Physician Office
Facility Name	PREMIER SPECIALTY ALLIANCE INC
Street	1511 BUENOS AIRES BLVD
City	THE VILLAGES
State	FL
ZIP	32159
Phone	352 362-0627
CertificateType	1
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Accreditation

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