Mid Florida Endocrine
Internal Medicine, Endocrinology, Diabetes & Metabolism in Winter Garden, FL. Organization (NPI-2).
NPI number1124451471
StatusActive
Last updated in NPPESAug 12, 2014
Details
- NPI
- 1124451471
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid Florida Endocrine
- Organization subpart
- No
- Enumeration date
- Aug 9, 2013
- Last updated
- Aug 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | Yes |
Practice location
213 S Dillard StSuite 240
Winter Garden, FL 34787-3522
Phone 407-614-1644 · Fax 407-614-1635
Mailing address
213 S Dillard StSuite 240
Winter Garden, FL 34787-3522
Phone 407-614-1644 · Fax 407-614-1635
Authorized official
Victor Matthews
President/Owner
4076141644
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