=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386953750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR ENDOCRINE DISEASES AND ENDOCRINE TUMOR
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2010
-----------------------------------------------------
Last Update Date | 10/01/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 NW 170TH ST SUITE 101
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33169-5513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-261-0222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 NW 170TH ST SUITE 101
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33169-5513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-261-0222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | MICHAEL KARL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 786-261-0222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------