| Thyroid Endocrinology And Diabetes Specialists Of Tampa Llc | |
|
508 S Habana Ave Ste 360 Tampa FL 33609-4192 | |
| (813) 474-3636 | |
| (813) 862-2536 |
| Full Name | Thyroid Endocrinology And Diabetes Specialists Of Tampa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 S Habana Ave Ste 360, Tampa, Florida |
| Authorized Official Name and Position | Ambreen Qureshi (PRESIDENT) |
| Authorized Official Contact | 8134743636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thyroid Endocrinology And Diabetes Specialists Of Tampa Llc 4030 Henderson Blvd Ste 701 Tampa FL 33629-4940 Ph: (813) 474-3636 | Thyroid Endocrinology And Diabetes Specialists Of Tampa Llc 508 S Habana Ave Ste 360 Tampa FL 33609-4192 Ph: (813) 474-3636 |
| NPI Number | 1912366428 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 01/05/2026 |
| Medicare PECOS PAC ID | 7416256920 |
|---|---|
| Medicare Enrollment ID | O20160505000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912366428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME115520 (Florida) | Primary |
| Provider Name | Ambreen Qureshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164460788 PECOS PAC ID: 0244234045 Enrollment ID: I20130813000183 |
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