FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC NPI 1790123271

NPI Information

NPI: 1790123271
Provider Name: FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 10D2030946

Address:
2763 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 623-9913
Get Directions

FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC is an endocrinology and diabetes and metabolism internal medicine in St Petersburg, 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. FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC NPI is 1790123271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2763 1ST AVE N
ST PETERSBURG, FL
ZIP 33713-723
Phone: (727) 623-9913
Fax: (727) 803-4852

The provider's authorized official is Venkata G Budharaju .
The authorized official title is Owner and has the following contact phone number (727) 623-9913.

The CLIA number assigned to this NPI record is 10D2030946 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 2/16/2016.

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	ME108425	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	008900700	MEDICAID	FLORIDA
2	HL533A	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: 4/28/2024

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