Provider Demographics
NPI:1184196958
Name:ENDOCRINOLOGY CONSULTANTS OF SOUTH FLORIDA PLLC
Entity type:Organization
Organization Name:ENDOCRINOLOGY CONSULTANTS OF SOUTH FLORIDA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:VILLABONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-307-4488
Mailing Address - Street 1:2901 CORAL HILLS DR STE 330
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4165
Mailing Address - Country:US
Mailing Address - Phone:954-998-2144
Mailing Address - Fax:954-252-4228
Practice Address - Street 1:2901 CORAL HILLS DR STE 330
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4165
Practice Address - Country:US
Practice Address - Phone:954-998-2144
Practice Address - Fax:954-252-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty