Organization
FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA G BUDHARAJU M.D. (OWNER)
(727) 623-9913
Entity
Organization
Contact information
Practice address
2763 1ST AVE N, ST PETERSBURG, FL 33713-8723
(727) 623-9913
(727) 803-4852
Mailing address
PO BOX 40725, ST PETERSBURG, FL 33743-0725
(727) 269-5618
(727) 265-3420
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME108425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008900700
—
FL
Enumeration date
06/06/2013
Last updated
06/20/2025
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