| Heart Of Florida Diabetes And Endocrine Llc | |
|
171 Webb Dr Ste 2 Davenport FL 33837-3944 | |
| (863) 419-7509 | |
| (863) 419-7824 |
| Full Name | Heart Of Florida Diabetes And Endocrine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 Webb Dr, Davenport, Florida |
| Authorized Official Name and Position | Hiba Al-dabagh (PRESIDENT) |
| Authorized Official Contact | 8634197509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Florida Diabetes And Endocrine Llc 171 Webb Dr Ste 2 Davenport FL 33837-3944 Ph: (863) 419-7509 | Heart Of Florida Diabetes And Endocrine Llc 171 Webb Dr Ste 2 Davenport FL 33837-3944 Ph: (863) 419-7509 |
| NPI Number | 1467772145 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 06/04/2010 |
| Medicare PECOS PAC ID | 3678605268 |
|---|---|
| Medicare Enrollment ID | O20100716000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467772145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Hiba Al-dabagh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487813630 PECOS PAC ID: 6305978990 Enrollment ID: I20100716000771 |
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