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Organization

ENDOCRINOLOGY AND DIABETES ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVIAN PERCIVAL ROSE MD (PRESIDENT)
(954) 575-4040
Entity
Organization

Contact information

Practice address
1801 N UNIVERSITY DR, SUITE209, CORAL SPRINGS, FL 33071-8920
(954) 575-4040
(954) 575-4049
Mailing address
1801 N UNIVERSITY DR, SUITE209, CORAL SPRINGS, FL 33071-8920
(954) 575-4040
(954) 575-4049

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0475769
FL
01
D63185
UPIN
FL
Enumeration date
06/12/2008
Last updated
04/25/2012
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