# ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366855975
- **Authorized official:** ORLANDO FERNANDEZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (239) 301-0105

## Contact information

- **Practice address:** 4061 BONITA BEACH RD, STE 101, BONITA SPRINGS, FL 34134-4074
- **Practice address phone:** (239) 301-0105
- **Practice address fax:** (239) 301-0110
- **Mailing address:** 4061 BONITA BEACH RD, STE 101, BONITA SPRINGS, FL 34134-4074
- **Mailing address phone:** (239) 301-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME113113 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 07/29/2014