Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
THE DIABETIC PLACE LLC
Active
Organization
THE DIABETIC PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWNA CHARLES DNP (NURSE PRACTITIONER)
(954) 990-0461
Entity
Organization
Contact information
Practice address
10472 TAFT ST, PEMBROKE PINES, FL 33026-2819
(954) 990-0461
(954) 990-0465
Mailing address
PO BOX 848182, HOLLYWOOD, FL 33084-0182
(954) 990-0461
(954) 990-0465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1956772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281108100
—
FL
Enumeration date
06/26/2007
Last updated
03/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up