| Endocrinology And Diabetes Associates, P.a. | |
|
1801 N University Dr Suite209 Coral Springs FL 33071-8920 | |
| (954) 575-4040 | |
| (954) 575-4049 |
| Full Name | Endocrinology And Diabetes Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Vivian Percival Rose (PRESIDENT) |
| Authorized Official Contact | 9545754040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology And Diabetes Associates, P.a. 1801 N University Dr Suite209 Coral Springs FL 33071-8920 Ph: (954) 575-4040 | Endocrinology And Diabetes Associates, P.a. 1801 N University Dr Suite209 Coral Springs FL 33071-8920 Ph: (954) 575-4040 |
| NPI Number | 1780844803 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 7214186709 |
|---|---|
| Medicare Enrollment ID | O20120926000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780844803 | NPI | - | NPPES |
| D63185 | Other | FL | UPIN |
| 0475769 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Vivian P Rose |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013020072 PECOS PAC ID: 3779553284 Enrollment ID: I20040730000228 |
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