Healthcare Provider Details

I. General information

NPI: 1386953750
Provider Name (Legal Business Name): CENTER FOR ENDOCRINE DISEASES AND ENDOCRINE TUMOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 10/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 170TH ST SUITE 101
NORTH MIAMI BEACH FL
33169-5513
US

IV. Provider business mailing address

100 NW 170TH ST SUITE 101
NORTH MIAMI BEACH FL
33169-5513
US

V. Phone/Fax

Practice location:
  • Phone: 786-261-0222
  • Fax:
Mailing address:
  • Phone: 786-261-0222
  • 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: MICHAEL KARL
Title or Position: MD
Credential: MD
Phone: 786-261-0222