ENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC
NPI 1053188417
Clinic/Center - Medical Specialty in Tampa, FL

Active since December 06, 2023
602 S AUDUBON AVE STE A, TAMPA, FL 33609(813) 931-2424(813) 869-3148 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2024, May 14, 2024, Dec 12, 2023 and 1 more (4 updates tracked since 2023).

About Endoone Diabetes & Endocrinology Center, Llc NPPES

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

ENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC (NPI 1053188417) is a healthcare organization registered as a medical specialty in Tampa, Florida and active in the NPI registry since December 2023. The organization lists Gustavo Antonio Meyreles Chaljub, Md, as its authorized official.

NPPES Registry Identity

NPI1053188417
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC
Location Address602 S AUDUBON AVE STE ATampa, FL 33609-4217
Mailing Address602 S Audubon Ave Ste ATampa, FL 33609-4217
Fax(813) 869-3148
Organization SubpartNo
Authorized OfficialGustavo Antonio Meyreles ChaljubMd · (813) 931-2424
Enumeration DateDecember 6, 2023
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1053188417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
602 S AUDUBON AVE STE A, Tampa, FL 33609

Other Identifiers 1

Medicaid121617900FL

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

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Interventional Cardiology)
602 S AUDUBON AVE STE A
TAMPA, FL 33609
Internal Medicine (Endocrinology, Diabetes & Metabolism)
602 S AUDUBON AVE STE A
TAMPA, FL 33609
Surgery
602 S AUDUBON AVE STE A
TAMPA, FL 33609
Internal Medicine (Endocrinology, Diabetes & Metabolism)
602 S AUDUBON AVE STE A
TAMPA, FL 33609
Internal Medicine (Interventional Cardiology)
602 S AUDUBON AVE STE A
TAMPA, FL 33609
Internal Medicine
602 S AUDUBON AVE STE A
TAMPA, FL 33609

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 Endoone Diabetes & Endocrinology Center, LLC's NPI number?

The NPI number for Endoone Diabetes & Endocrinology Center, LLC is 1053188417. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Endoone Diabetes & Endocrinology Center, LLC located?

Endoone Diabetes & Endocrinology Center, LLC is located at 602 S Audubon Ave Ste A, Tampa, FL 33609. The listed phone number is (813) 931-2424.

What is Endoone Diabetes & Endocrinology Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Endoone Diabetes & Endocrinology Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Endoone Diabetes & Endocrinology Center, LLC 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 Endoone Diabetes & Endocrinology Center, LLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.