| Endocrine Specialist Pa | |
|
730 Goodlette Road North Suite 205 Naples FL 34102-5618 | |
| (239) 436-3666 | |
| (239) 436-3678 |
| Full Name | Endocrine Specialist Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 730 Goodlette Road North, Naples, Florida |
| Authorized Official Name and Position | Todd D Brodie (PRESIDENT) |
| Authorized Official Contact | 2394363666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Specialist Pa 730 Goodlette Road North Suite 205 Naples FL 34102-5618 Ph: (239) 436-3666 | Endocrine Specialist Pa 730 Goodlette Road North Suite 205 Naples FL 34102-5618 Ph: (239) 436-3666 |
| NPI Number | 1144399932 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/07/2016 |
| Medicare PECOS PAC ID | 0244271443 |
|---|---|
| Medicare Enrollment ID | O20050518000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144399932 | NPI | - | NPPES |
| 460002821 | Other | RR CARE | |
| 42327 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME73670 (Florida) | Primary |
| Provider Name | Ruth B Girlando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114991270 PECOS PAC ID: 9133256555 Enrollment ID: I20100416000168 |
| Provider Name | Todd D Brodie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003880170 PECOS PAC ID: 9133160344 Enrollment ID: I20110819000373 |
| Provider Name | Christina Lynn Dzioba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598180614 PECOS PAC ID: 3072833193 Enrollment ID: I20150513001019 |
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