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PREMIER ENDOCRINOLOGY PLLC
NPI 1033487426
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Cloud, FL

Active since December 13, 2011CLIA 10D2033700 · Waiver
3004 17TH ST, SAINT CLOUD, FL 34769(407) 593-2910(407) 593-2913 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Endocrinology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER ENDOCRINOLOGY PLLC (NPI 1033487426) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Saint Cloud, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Theresa Adadzewa Fynn, Owner, as its authorized official.

NPPES Registry Identity

NPI1033487426
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePREMIER ENDOCRINOLOGY PLLC
Location Address3004 17TH STSaint Cloud, FL 34769-6011
Mailing Address3004 17th StSaint Cloud, FL 34769-6011 · (407) 593-2910 · Fax (407) 593-2913
Phone(407) 593-2910
Fax(407) 593-2913
Organization SubpartNo
Authorized OfficialTheresa Adadzewa FynnOwner · (407) 593-2910
Enumeration DateDecember 13, 2011
Last NPPES UpdateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1033487426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME109189
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3004 17TH ST, Saint Cloud, FL 34769
Open in Google Maps ↗

Other Identifiers 1

Other12316257Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2033700

Premier Endocrinology · Saint Cloud, FL
Active · expires Dec 7, 2027
CLIA Number10D2033700
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorTheresa Fynn
Laboratory Phone(407) 593-2910
Laboratory LocationPremier Endocrinology3004 17th St, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2190411

Premier Endocrinology PLLC · Kissimmee, FL
Expired · Aug 12, 2026
CLIA Number10D2190411
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorKwame Ntim
Laboratory Phone(407) 593-2910
Laboratory LocationPremier Endocrinology PLLC505 W Oak Street Suite 102, Kissimmee, FL 34741
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KWAME SAFO NTIM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 593-2910
MINIMALLY INVASIVE GYNECOLOGY PLLC
Obstetrics & Gynecology (Gynecology)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 556-3973
HARDYS MIGUELINA MORFA DE MEDINA FNP
Nurse Practitioner (Family)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 593-2910
FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology (Gynecology)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 556-3973
MUSTAFA KINAAN
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 593-2910
THERESA ADADZEWA FYNN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 593-2910
DR. ANTHONY NYARKO GYANG MD
Obstetrics & Gynecology (Gynecology)
3004 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 556-3973

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Endocrinology PLLC's NPI number?

The NPI number for Premier Endocrinology PLLC is 1033487426. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Premier Endocrinology PLLC located?

Premier Endocrinology PLLC is located at 3004 17th St, Saint Cloud, FL 34769. The listed phone number is (407) 593-2910.

What is Premier Endocrinology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Premier Endocrinology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2033700) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Endocrinology PLLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Premier Endocrinology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Endocrinology PLLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.