| Advanced Diabetes & Endocrine Medical Center | |
|
9166 University Blvd Orlando FL 32817-1709 | |
| (407) 673-4600 | |
| (407) 673-4601 |
| Full Name | Advanced Diabetes & Endocrine Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 9166 University Blvd, Orlando, Florida |
| Authorized Official Name and Position | Rita Y Rahbany (PRESIDENT) |
| Authorized Official Contact | 4072569490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diabetes & Endocrine Medical Center 9166 University Blvd Orlando FL 32817-1709 Ph: (407) 673-4600 | Advanced Diabetes & Endocrine Medical Center 9166 University Blvd Orlando FL 32817-1709 Ph: (407) 673-4600 |
| NPI Number | 1144418161 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 04/29/2014 |
| Medicare PECOS PAC ID | 6608819040 |
|---|---|
| Medicare Enrollment ID | O20050607000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144418161 | NPI | - | NPPES |
| 0007978013 | Other | FL | AETNA |
| 46901 | Other | FL | BLUE CROSS |
| 256771700 | Medicaid | FL | |
| 4099709012 | Other | FL | CIGNA |
| G95309 | Other | FL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Rita Y Rahbany |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104911452 PECOS PAC ID: 2062455405 Enrollment ID: I20050608000017 |
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