10D2291982 CLIA NUMBER - FLORIDA WOMAN CARE, LLC

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Laboratory Demographics

CLIA Number: 10D2291982

Facility Name: FLORIDA WOMAN CARE, LLC

Facility Address:
345 JUPITER LAKES BLVD, STE 200
JUPITER, FL
ZIP 33458
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Facility Phone Number: 561 408-0158

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205408143

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2291982
LAB Type	Physician Office
Facility Name	FLORIDA WOMAN CARE, LLC
Street	345 JUPITER LAKES BLVD, STE 200
City	JUPITER
State	FL
ZIP	33458
Phone	561 408-0158
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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