| Endocrinology & Diabetes Specialist, Llc | |
|
1743 Park Center Dr Ste 300 Orlando FL 32835-7621 | |
| (703) 862-4403 | |
| Not Available |
| Full Name | Endocrinology & Diabetes Specialist, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1743 Park Center Dr Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Saima Ali (CEO) |
| Authorized Official Contact | 7038624403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology & Diabetes Specialist, Llc 501 S Kirkman Rd # 616587 Orlando FL 32811-2007 Ph: () - | Endocrinology & Diabetes Specialist, Llc 1743 Park Center Dr Ste 300 Orlando FL 32835-7621 Ph: (703) 862-4403 |
| NPI Number | 1942065792 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 7113465691 |
|---|---|
| Medicare Enrollment ID | O20240815000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942065792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Saima Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932185733 PECOS PAC ID: 2365483658 Enrollment ID: I20240815000391 |
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