# FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC

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

## Provider details

- **NPI number:** 1790123271
- **Authorized official:** DR. VENKATA G BUDHARAJU M.D. (OWNER)
- **Authorized official phone:** (727) 623-9913

## Contact information

- **Practice address:** 2763 1ST AVE N, ST PETERSBURG, FL 33713-8723
- **Practice address phone:** (727) 623-9913
- **Practice address fax:** (727) 803-4852
- **Mailing address:** PO BOX 40725, ST PETERSBURG, FL 33743-0725
- **Mailing address phone:** (727) 269-5618
- **Mailing address fax:** (727) 265-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME108425 | FL | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/20/2025