Organization Active NPI

Orlando Diabetes and Endocrine Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Orlando, FL
National Provider Identifier
1366415978
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ORLANDO DIABETES AND ENDOCRINE SPECIALISTS
Practice address
6150 Metrowest Blvd
Suite 105
Orlando, FL 32835-3290
Phone
(407) 293-2150
Fax
(407) 293-4540
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Kerri L Connell, CPC
Title
Billing and Collections Cooridinato
Phone
(407) 293-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

6150 Metrowest Blvd
Suite 105
Orlando, FL 32835-3290

Mailing address

6150 Metrowest Blvd
Suite 105
Orlando, FL 32835-3289
Phone (407) 293-2150

National Provider Directory

National Provider Directory

Locations

6150 Metrowest Blvd
Ste 105
Orlando, FL 32835
Phone (407) 293-2150

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1366415978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353289",
            "telephone_number": "407-293-2150",
            "fax_number": "407-293-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353290",
            "telephone_number": "407-293-2150",
            "fax_number": "407-293-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO DIABETES AND ENDOCRINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING AND COLLECTIONS COORIDINATO",
        "authorized_official_telephone_number": "407-293-2150",
        "authorized_official_credential": "CPC"
    },
    "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": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.