| Diabetes & Thyroid Care Llc | |
|
540 Nw University Blvd Ste 107 Port Saint Lucie FL 34986-2280 | |
| (772) 324-2007 | |
| (833) 909-3952 |
| Full Name | Diabetes & Thyroid Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 540 Nw University Blvd Ste 107, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Gabriel Guerrero (PROVIDER) |
| Authorized Official Contact | 7723242007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Thyroid Care Llc 1805 Sw Amarillo Ln Palm City FL 34990-6228 Ph: (772) 324-2007 | Diabetes & Thyroid Care Llc 540 Nw University Blvd Ste 107 Port Saint Lucie FL 34986-2280 Ph: (772) 324-2007 |
| NPI Number | 1366145807 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 2466818992 |
|---|---|
| Medicare Enrollment ID | O20230525000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366145807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Gabriel Guerrero |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285738831 PECOS PAC ID: 9133220882 Enrollment ID: I20080424000172 |
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