Organization
ENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO ANTONIO MEYRELES CHALJUB MD (MD)
(813) 931-2424
Entity
Organization
Contact information
Practice address
602 S AUDUBON AVE STE A, TAMPA, FL 33609-4217
(813) 931-2424
(813) 869-3148
Mailing address
602 S AUDUBON AVE STE A, TAMPA, FL 33609-4217
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121617900
—
FL
Enumeration date
12/06/2023
Last updated
08/22/2024
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