Mid Florida Endocrine

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MID FLORIDA ENDOCRINE

Practice address

213 S Dillard St
Suite 240
Winter Garden, FL 34787-3522

Phone

(407) 614-1644

Fax

(407) 614-1635

NPI assigned

Aug 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Matthews, MDNPI 1457363541

Title

President/Owner

Phone

(407) 614-1644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor W Matthews, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Winter Garden, FL
  • NPI 1457363541

  Endocrinology, Diabetes & Metabolism, FL

  Medicare reassignment NPD Authorized official
• Kelley E Sherwood, ARNP

  • Adult Health Nurse Practitioner
  • Winter Garden, FL
  • NPI 1649606500

  FL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1124451471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 240",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873522",
            "telephone_number": "407-614-1644",
            "fax_number": "407-614-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 240",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873522",
            "telephone_number": "407-614-1644",
            "fax_number": "407-614-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA ENDOCRINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-614-1644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rackel M Meza Farfan, BEHAVIOR TECHNICIAN
• Christy L Mezger, APRN
• Jennifer Lynn Micai
• Michael Lewis DC PA
• Juliet Janet Michaels, D.C.
• Mid-Florida Endodontics - Winter Garden, PLLC
• Mid-South Home Care Services, LLC
• Emily M. Mihm, RBT
• Marissa Miles
• Milestones Behavioral Center LLC

• All providers in Winter Garden, FL
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.