Organization
MOBILE PHLEBOTOMY EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY LASHAE BROWN (ASCP-PBT)
(863) 275-4405
Entity
Organization
Contact information
Practice address
109 E VIOLA ST, AVON PARK, FL 33825-2249
(888) 919-2509
(863) 900-9720
Mailing address
PO BOX 7090, AVON PARK, FL 33826-7090
(888) 919-2509
(863) 900-9720
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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