Organization Active NPI

Florida Endocrinology Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Harbor, FL
National Provider Identifier
1639621345
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME117683 Issued in FL
Legal business name
FLORIDA ENDOCRINOLOGY GROUP LLC
Practice address
34041 US Highway 19 N
Suite C
Palm Harbor, FL 34684-2648
Phone
(727) 480-5619
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Somwya Suryanarayanan, M.D.
Title
Owner
Phone
(727) 480-5619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME117683 FL Primary

Addresses

Primary practice location

34041 US Highway 19 N
Suite C
Palm Harbor, FL 34684-2648

Mailing address

34041 US Highway 19 N
Suite C
Palm Harbor, FL 34684-2648
Phone (727) 480-5619

Other identifiers 1

IdentifierTypeStateIssuer
ME117683OtherFLMEDICAL LISCENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1639621345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34041 US HIGHWAY 19 N",
            "address_2": "SUITE C",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842648",
            "telephone_number": "727-480-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34041 US HIGHWAY 19 N",
            "address_2": "SUITE C",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842648",
            "telephone_number": "727-480-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ENDOCRINOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SURYANARAYANAN",
        "authorized_official_first_name": "SOMWYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-480-5619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME117683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENCE",
            "identifier": "ME117683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.