The Diabetic Place Llc

LBN: The Diabetic Place Llc
The Diabetic Place Llc is an health care organization with primary practice located at 10472 Taft St , Pembroke Pines FL 33026-2819. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. The Diabetic Place Llc can be contacted via phone (954) 990-0461, or through Charles, Shawna via phone (954) 990-0461.

Contact Information

Primary practice address
10472 Taft St Pembroke Pines FL 33026-2819
Phone: (954) 990-0461
Fax: (954) 990-0465
Website:
Map and Directions
Authorized official contact:
Name: Charles, Shawna DNP
Phone: (954) 990-0461

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1956772 Florida

Profile Details

NPI number 1104022169
LBN Legal business name The Diabetic Place Llc
DBA Doing business as
Authorized official Charles, Shawna DNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Mar 30th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104022169 NPPES
Florida MEDICAID 281108100

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