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BORN AGAIN DOCTOR LLC NPI 1821463688


NPI Information

NPI: 1821463688
Provider Name: BORN AGAIN DOCTOR LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
10671 EMERALD CHASE DR
ORLANDO, FL
ZIP 32836
Phone: (407) 645-1847
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BORN AGAIN DOCTOR LLC is an endocrinology and diabetes and metabolism internal medicine in Orlando, 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. BORN AGAIN DOCTOR LLC NPI is 1821463688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10671 EMERALD CHASE DR
ORLANDO, FL
ZIP 32836-855
Phone: (407) 645-1847
Fax: (407) 978-6507

The provider's authorized official is Sualeh Ashraf .
The authorized official title is Owner and has the following contact phone number (407) 645-1847.

The enumeration date for this NPI number is 12/4/2015 and was last updated on 12/4/2015.


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
1207R00000XInternal MedicineME83798FLORIDANo
2207RC0000XInternal MedicineCardiovascular DiseaseME83798FLORIDANo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME83798FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME83798OTHERFLORIDAFLORIDA MEDICAL LICENSE

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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