Diabetes National Alliance Clinic

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME83396 Issued in FL

Legal business name

DIABETES NATIONAL ALLIANCE CLINIC

Practice address

13940 N US Highway 441 Ste 801
Lady Lake, FL 32159-8954

Phone

(352) 414-7999

Fax

(352) 414-7998

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gopinath Sunil, M.D.

Title

Medical Director

Phone

(352) 414-7999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1851766554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441 STE 801",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598954",
            "telephone_number": "352-414-7999",
            "fax_number": "352-414-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441 STE 801",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598954",
            "telephone_number": "352-414-7999",
            "fax_number": "352-414-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES NATIONAL ALLIANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "SUNIL",
        "authorized_official_first_name": "GOPINATH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-414-7999",
        "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": "ME83396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Dema, APRN
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• Rebecca Dhanpat
• Kelly Diaz-Vazquez, APRN
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• Jomar Fiel Dioso, RPT, CLT
• Devin D Discala, ARNP

• Endocrinology, Diabetes & Metabolism Physician in Lady Lake, FL
• Providers in Lady Lake, 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 Mar 29, 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.