| Mid Florida Endocrine | |
|
213 S Dillard St Suite 240 Winter Garden FL 34787-3522 | |
| (407) 614-1644 | |
| (407) 614-1635 |
| Full Name | Mid Florida Endocrine |
|---|---|
| Speciality | Internal Medicine |
| Location | 213 S Dillard St, Winter Garden, Florida |
| Authorized Official Name and Position | Victor Matthews (PRESIDENT/OWNER) |
| Authorized Official Contact | 4076141644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Florida Endocrine 213 S Dillard St Suite 240 Winter Garden FL 34787-3522 Ph: (407) 614-1644 | Mid Florida Endocrine 213 S Dillard St Suite 240 Winter Garden FL 34787-3522 Ph: (407) 614-1644 |
| NPI Number | 1124451471 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 7315171618 |
|---|---|
| Medicare Enrollment ID | O20130927000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124451471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ramon A. Urdaneta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871533687 PECOS PAC ID: 0547156333 Enrollment ID: I20040227000143 |
| Provider Name | Victor W Matthews |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457363541 PECOS PAC ID: 8426153412 Enrollment ID: I20070419000643 |
| Provider Name | Kelley E Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649606500 PECOS PAC ID: 5496980765 Enrollment ID: I20131023001229 |
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