# MY ENDOCRINOLOGIST PA

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

## Provider details

- **NPI number:** 1497059737
- **Authorized official:** MARIBEL MONTOYA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (352) 409-7103

## Contact information

- **Practice address:** 213 S DILLARD ST, SUITE 240, WINTER GARDEN, FL 34787-3522
- **Practice address phone:** (407) 409-8067
- **Practice address fax:** (407) 409-8068
- **Mailing address:** 213 S DILLARD ST, SUITE 240, WINTER GARDEN, FL 34787-3522
- **Mailing address phone:** (407) 409-8067
- **Mailing address fax:** (407) 409-8068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME84429 | FL | Yes |

## Other

- **Enumeration date:** 12/30/2010
- **Last updated:** 08/11/2014