# SOUTH BEACH ENDOCRINE WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083139919
- **Authorized official:** DR. JEREMY SCOTT BLEICHER DO (CHAIRMAN)
- **Authorized official phone:** (305) 431-2680

## Contact information

- **Practice address:** 1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL 33179-4747
- **Practice address phone:** (305) 431-2680
- **Practice address fax:** (305) 901-6238
- **Mailing address:** 1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL 33179-4747
- **Mailing address phone:** (305) 431-2680
- **Mailing address fax:** (305) 901-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | OS12010 | FL | Yes |

## Other

- **Enumeration date:** 08/11/2017
- **Last updated:** 11/04/2022