Endocrine Associates Of Fl | |
766 N Sun Dr Suite 2060 Lake Mary FL 32746-2553 | |
(407) 331-1117 | |
(407) 331-3535 |
Full Name | Endocrine Associates Of Fl |
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Speciality | Internal Medicine |
Location | 766 N Sun Dr, Lake Mary, Florida |
Authorized Official Name and Position | Victor L Roberts (PARTNER) |
Authorized Official Contact | 4073311117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrine Associates Of Fl 766 N Sun Dr Suite 2060 Lake Mary FL 32746-2553 Ph: (407) 331-1117 | Endocrine Associates Of Fl 766 N Sun Dr Suite 2060 Lake Mary FL 32746-2553 Ph: (407) 331-1117 |
NPI Number | 1659382042 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 04/25/2013 |
Medicare PECOS PAC ID | 7911996970 |
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Medicare Enrollment ID | O20040506001218 |
Identifier | Type | State | Issuer |
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1659382042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Lucy Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275642043 PECOS PAC ID: 1850380809 Enrollment ID: I20040506001121 |
Provider Name | Victor L Roberts |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1891725206 PECOS PAC ID: 6608840590 Enrollment ID: I20040825001071 |
Provider Name | Jose M Mandry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386674794 PECOS PAC ID: 3577538354 Enrollment ID: I20040826000949 |
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