| Endocrine & Diabetes Consultants Of Central Florida, Llc | |
|
635 N Maitland Ave Maitland FL 32751-4422 | |
| (407) 342-4812 | |
| Not Available |
| Full Name | Endocrine & Diabetes Consultants Of Central Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 635 N Maitland Ave, Maitland, Florida |
| Authorized Official Name and Position | Sohail H Ali (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4073424812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine & Diabetes Consultants Of Central Florida, Llc 635 N Maitland Ave Maitland FL 32751-4422 Ph: () - | Endocrine & Diabetes Consultants Of Central Florida, Llc 635 N Maitland Ave Maitland FL 32751-4422 Ph: (407) 342-4812 |
| NPI Number | 1285414839 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 6002264173 |
|---|---|
| Medicare Enrollment ID | O20231129003754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285414839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Julie A Bauer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326011925 PECOS PAC ID: 5496816043 Enrollment ID: I20081202000160 |
| Provider Name | Sohail H Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235137167 PECOS PAC ID: 2264596055 Enrollment ID: I20090122000395 |
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