Organization
ID&WM LLC
Active
Other names
Endocrine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BIRUKOFF (MANAGER)
(754) 777-1333
Entity
Organization
Contact information
Practice address
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316-1708
(754) 777-1333
Mailing address
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316-1708
(754) 777-1333
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063775674
—
FL
05
—
1295597664
—
FL
05
—
1477303055
—
FL
05
—
ST035
—
FL
05
—
ST058
—
FL
Enumeration date
03/25/2024
Last updated
07/16/2025
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