The Diabetic Place Llc in Hollywood - Family
The Diabetic Place Llc - NPI 1104022169
The Diabetic Place Llc is a Family in Hollywood, Florida. The Diabetic Place Llc practices all healthcare services and medical treatments related to Family. The NPI Number for The Diabetic Place Llc is 1104022169. The last update date is 2015-03-30.
The Diabetic Place Llc's current location address is Po Box 848182, Hollywood, Florida. You can contact this provider via phone number 9549900461 and fax number 9549900465. The mailing address for The Diabetic Place Llc is Po Box 848182, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Diabetic Place Llc |
|---|---|
| Address | Po Box 848182, Hollywood, Florida |
| Phone Number | 9549900461 |
| Fax Number | 9549900465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NURSE PRAC |
|---|---|
| Authorized Official Name | Charles Shawna |
| Credentials | DNP |
| Telephone Number | 9549900461 |
NPI Number Detail
| NPI Number | 1104022169 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2015-03-30 |
Provider Mailing Address Detail
| Address | Po Box 848182 |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330840182 |
| Phone Number | 9549900461 |
| Fax Number | 9549900465 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1956772 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 281108100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to The Diabetic Place Llc by the Centers for Medicare & Medicaid Services?
The The Diabetic Place Llc has been issued the NPI (National Provider Identifier) 1104022169, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where The Diabetic Place Llc is located?
The The Diabetic Place Llc is situated at the following address: Po Box 848182, Hollywood, FL, 330840182.
What is The Diabetic Place Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for The Diabetic Place Llc is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When did The Diabetic Place Llc receive its 1104022169 assignment?
The The Diabetic Place Llc was assigned its 1104022169 on 2007-06-26, which is the date when this unique identifier was issued to the organization.
As of what date were the The Diabetic Place Llc's details last updated?
The information pertaining to the The Diabetic Place Llc, including its address, specialty, and other details, was most recently updated on 2015-03-30.
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