Organization
DIABETES THYROID AND ENDOCRINOLOGY CENTER PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALAL FARIS MD (PRESIDENT)
(727) 868-3200
Entity
Organization
Contact information
Practice address
7414 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 868-3200
(727) 868-3204
Mailing address
7414 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 868-3200
(727) 868-3204
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME78645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001069200
—
FL
01
—
DO9834
RR MEDICARE
FL
Enumeration date
09/10/2008
Last updated
04/05/2011
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