# CENTER FOR INTEGRATIVE & FUNCTIONAL ENDOCRINOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitra Gosine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598300741
- **Authorized official:** DR. VITRA NISHI GOSINE MD (MEDICAL DOCTOR/OWNER)
- **Authorized official phone:** (954) 800-1408

## Contact information

- **Practice address:** 17900 NW 5TH ST STE 202, PEMBROKE PINES, FL 33029-2809
- **Practice address phone:** (954) 800-1408
- **Practice address fax:** (954) 842-4966
- **Mailing address:** 17900 NW 5TH ST STE 202, PEMBROKE PINES, FL 33029-2809
- **Mailing address phone:** (954) 800-1408
- **Mailing address fax:** (954) 842-4966

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 04/08/2020
