| Diabetes & Endocrine Center Of Orlando, P.a. | |
|
3113 Lawton Rd Suite 100 Orlando FL 32803-3531 | |
| (407) 894-3241 | |
| (407) 896-9863 |
| Full Name | Diabetes & Endocrine Center Of Orlando, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3113 Lawton Rd, Orlando, Florida |
| Authorized Official Name and Position | Robert Constant (OWNER/PRESIDENT) |
| Authorized Official Contact | 4078943241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Center Of Orlando, P.a. 3113 Lawton Rd Suite 100 Orlando FL 32803-3531 Ph: (407) 894-3241 | Diabetes & Endocrine Center Of Orlando, P.a. 3113 Lawton Rd Suite 100 Orlando FL 32803-3531 Ph: (407) 894-3241 |
| NPI Number | 1316996325 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 11/11/2009 |
| Medicare PECOS PAC ID | 0446233647 |
|---|---|
| Medicare Enrollment ID | O20040609000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316996325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0043196 (Florida) | Primary |
| Provider Name | Hoyt E Bankston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811967383 PECOS PAC ID: 8921093881 Enrollment ID: I20040419001411 |
| Provider Name | Wendy C Huhn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720099070 PECOS PAC ID: 1557494309 Enrollment ID: I20100730000991 |
| Provider Name | Robert B Constant |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124039458 PECOS PAC ID: 2062495260 Enrollment ID: I20100730001004 |
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