Healthcare Provider Details
I. General information
NPI: 1992646913
Provider Name (Legal Business Name): ENDOCRINOLOGYHEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3650 NW 82ND AVE STE 407
DORAL FL
33166-6695
US
IV. Provider business mailing address
9920 NW 88TH TER
DORAL FL
33178-2739
US
V. Phone/Fax
- Phone: 954-715-7357
- Fax: 888-440-5676
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NOREEN
SHAABAN
Title or Position: OWNER
Credential: MD
Phone: 954-715-7357