| Endo Health | |
|
5460 Village Drive,viera Rockledge FL 32955 | |
| (972) 821-1253 | |
| Not Available |
| Full Name | Endo Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 5460 Village Drive,viera, Rockledge, Florida |
| Authorized Official Name and Position | Abosede Olatoyosi Adeoshun (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9728211253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endo Health 6566 Arroyo Dr Melbourne FL 32940-8511 Ph: (972) 821-1253 | Endo Health 5460 Village Drive,viera Rockledge FL 32955 Ph: (972) 821-1253 |
| NPI Number | 1063037810 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 5991122871 |
|---|---|
| Medicare Enrollment ID | O20200825000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063037810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Abosede Olatoyosi Adeoshun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033554902 PECOS PAC ID: 9335410026 Enrollment ID: I20181029001982 |
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