Organization
ADVANCED DIABETES & ENDOCRINE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA Y RAHBANY M.D. (PRESIDENT)
(407) 256-9490
Entity
Organization
Contact information
Practice address
9166 UNIVERSITY BLVD, ORLANDO, FL 32817-1709
(407) 673-4600
(407) 673-4601
Mailing address
9166 UNIVERSITY BLVD, ORLANDO, FL 32817-1709
(407) 673-4600
(407) 673-4601
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007978013
AETNA
FL
05
—
256771700
—
FL
01
—
4099709012
CIGNA
FL
01
—
46901
BLUE CROSS
FL
01
—
G95309
UPIN
FL
Enumeration date
10/04/2007
Last updated
04/29/2014
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