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PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS PA NPI 1558324848


NPI Information

NPI: 1558324848
Provider Name: PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS, PA
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 10D0916989

Address:
3400 BURNS RD
SUITE 200
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 624-1985
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PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS, PA is a pediatric endocrinology pediatrics in Palm Beach Gardens, FL. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS, PA NPI is 1558324848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 BURNS RD
SUITE 200
PALM BEACH GARDENS, FL
ZIP 33410-325
Phone: (561) 624-1985
Fax: (561) 624-7255

The provider's authorized official is Mary A. Vaccarello-cruz .
The authorized official title is President and has the following contact phone number (561) 624-1985.

The CLIA number assigned to this NPI record is 10D0916989 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 8/22/2020.


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
12080P0205XPediatricsPediatric EndocrinologyME0056044FLORIDAYes

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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