DIABETES AND ENDOCRINE CLINIC PLLC NPI 1265711139

NPI Information

NPI: 1265711139
Provider Name: DIABETES AND ENDOCRINE CLINIC PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
155 CRYSTAL BEACH DR STE 137C
DESTIN, FL
ZIP 32541
Phone: (850) 460-7090
Get Directions

DIABETES AND ENDOCRINE CLINIC PLLC is an endocrinology and diabetes and metabolism internal medicine in Destin, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DIABETES AND ENDOCRINE CLINIC PLLC NPI is 1265711139. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 CRYSTAL BEACH DR STE 137C
DESTIN, FL
ZIP 32541-588
Phone: (850) 460-7090
Fax: (850) 460-7093

The provider's authorized official is Sherief M Kamel .
The authorized official title is President and has the following contact phone number (850) 460-7090.

The enumeration date for this NPI number is 8/10/2011 and was last updated on 2/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	ME92200	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H96335	MEDICARE UPIN	FLORIDA
2	276-100-900	MEDICAID	FLORIDA
3	03472	OTHER	FLORIDA	BCBS
4	U8338Z	MEDICARE PIN	FLORIDA
5	U8338Y	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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