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ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC NPI 1366855975


NPI Information

NPI: 1366855975
Provider Name: ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 10D2082985

Address:
4061 BONITA BEACH RD
STE 101
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 301-0105
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ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC is an endocrinology and diabetes and metabolism internal medicine in Bonita Springs, 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. ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC NPI is 1366855975. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4061 BONITA BEACH RD
STE 101
BONITA SPRINGS, FL
ZIP 34134-074
Phone: (239) 301-0105
Fax: (239) 301-0110

The provider's authorized official is Orlando Fernandez .
The authorized official title is Medical Director and has the following contact phone number (239) 301-0105.

The CLIA number assigned to this NPI record is 10D2082985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 7/29/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME113113FLORIDAYes

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

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