Healthcare Provider Details

I. General information

NPI: 1285414839
Provider Name (Legal Business Name): ENDOCRINE & DIABETES CONSULTANTS OF CENTRAL FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 MAITLAND AVE STE 1020
ALTAMONTE SPRINGS FL
32701-4925
US

IV. Provider business mailing address

247 MAITLAND AVE STE 1020
ALTAMONTE SPRINGS FL
32701-4925
US

V. Phone/Fax

Practice location:
  • Phone: 407-436-9601
  • Fax:
Mailing address:
  • Phone: 407-436-9601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SOHAIL H ALI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 407-342-4812