Heart of Florida Diabetes and Endocrine LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

HEART OF FLORIDA DIABETES AND ENDOCRINE LLC

Practice address

171 Webb Dr
Ste 2
Davenport, FL 33837-3944

Phone

(863) 419-7509

Fax

(863) 419-7824

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hiba Al-Dabagh, MDNPI 1487813630

Title

President

Phone

(863) 419-7509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Hiba Al-Dabagh, MBBS

  • Endocrinology, Diabetes & Metabolism Physician
  • Davenport, FL
  • NPI 1487813630

  Endocrinology, Diabetes & Metabolism, FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1467772145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WEBB DR",
            "address_2": "STE 2",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373944",
            "telephone_number": "863-419-7509",
            "fax_number": "863-419-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WEBB DR",
            "address_2": "STE 2",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373944",
            "telephone_number": "863-419-7509",
            "fax_number": "863-419-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF FLORIDA DIABETES AND ENDOCRINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "AL-DABAGH",
        "authorized_official_first_name": "HIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-419-7509",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Ivonne Hazim, RN
• HC Davenport DME, Inc
• Healing and Compassionate Care LLC
• Health Holdings Company LLC
• Heart & Vascular Institute of Florida PLC
• Heart of Florida OB/GYN Associates PA
• Heart of Florida Surgery Center LLC
• Heavenly Hands Companion & Home Care Services LLC
• Heavenly Hands Healthcare LLC
• Laura K Heffernan, MA, LCPC, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.