Diabetes and Endocrine Clinic PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME92200 Issued in FL

Legal business name

DIABETES AND ENDOCRINE CLINIC PLLC

Practice address

155 Crystal Beach Dr Ste 137C
Destin, FL 32541-3588

Phone

(850) 460-7090

Fax

(850) 460-7093

NPI assigned

Aug 10, 2011

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherief M Kamel, M.D.

Title

President

Phone

(850) 460-7090

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Williams, ARNP, FNP-C

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1972992931
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1265711139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR STE 137C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413588",
            "telephone_number": "850-460-7090",
            "fax_number": "850-460-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR STE 137C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413588",
            "telephone_number": "850-460-7090",
            "fax_number": "850-460-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "KAMEL",
        "authorized_official_first_name": "SHERIEF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-460-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME92200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03472",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276-100-900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gerardo J Dieguez Gomez, M.D.
• Doctors Direct LLC
• Nicholas Paul Dotta, PHARM.D.
• Hannah Lianne Douglas, COTA
• Timothy Deegan Douglass, D.C.

• Endocrinology, Diabetes & Metabolism Physician in Destin, FL
• Providers in Destin, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.