Active NPI
Endocrinology of Central Florida PA
- Endocrinology, Diabetes & Metabolism Physician
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINOLOGY OF CENTRAL FLORIDA PA
- Practice address
- 141 Victoria Commons Blvd
Deland, FL 32724-7700 - Phone
- (386) 427-4544
- Fax
- (386) 427-8688
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Nathaniel Metchick, MD
- Title
- President
- Phone
- (386) 427-4544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | FL | Primary |
Addresses
Primary practice location
141 Victoria Commons Blvd
Deland, FL 32724-7700
Mailing address
141 Victoria Commons Blvd
Deland, FL 32724-7700
Phone (386) 427-4544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040902001110 | FL | Part B Supplier - Clinic/Group Practice | 5597731380 |
Receives reassigned benefits from 9 practitioners Practice locations: Deland, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2170233 | Endocrinology of Central Florida | Compliance | Dec 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544
141 Victoria Commons Blvd
Ste 1003
Deland, FL 32724
929 Williston Park Pt
Lake Mary, FL 32746
Phone (321) 397-1212
237 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 427-4544
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIGHCA
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Deland, FL
- NPI 1407851801
Endocrinology, Diabetes & Metabolism, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1730185307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 VICTORIA COMMONS BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327247700",
"telephone_number": "386-427-4544",
"fax_number": "386-427-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 VICTORIA COMMONS BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327247700",
"telephone_number": "386-427-4544",
"fax_number": "386-427-8688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY OF CENTRAL FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "METCHICK",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "NATHANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-427-4544",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.