10D2299644 CLIA NUMBER - PREVENTION 305 INC DBA PREVENTION 727

Laboratory Demographics

CLIA Number: 10D2299644

Facility Name: PREVENTION 305 INC DBA PREVENTION 727

Facility Address:
3000 1ST AVENUE NORTH
SAINT PETERSBURG, FL
ZIP 33713
Get Directions

Facility Phone Number: 866 773-7305

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1689447336

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	10D2299644
LAB Type	Community Clinic
Facility Name	PREVENTION 305 INC DBA PREVENTION 727
Street	3000 1ST AVENUE NORTH
City	SAINT PETERSBURG
State	FL
ZIP	33713
Phone	866 773-7305
CertificateType	4
CertificateEffectiveDate	2/23/2024
CertificateExpirationDate	2/22/2026
FacilityType	Waiver

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