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THE DIABETIC PLACE LLC
NPI 1104022169
Nurse Practitioner - Family in Pembroke Pines, FL

Active since June 26, 2007
10472 TAFT ST, PEMBROKE PINES, FL 33026(954) 990-0461(954) 990-0465 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Diabetic Place Llc NPPES

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

THE DIABETIC PLACE LLC (NPI 1104022169) is a healthcare organization registered as a family in Pembroke Pines, Florida and active in the NPI registry since June 2007. The organization lists Shawna Charles, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1104022169
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE DIABETIC PLACE LLC
Location Address10472 TAFT STPembroke Pines, FL 33026-2819
Mailing AddressPo Box 848182Hollywood, FL 33084-0182 · (954) 990-0461 · Fax (954) 990-0465
Phone(954) 990-0461
Fax(954) 990-0465
Organization SubpartNo
Authorized OfficialShawna CharlesNurse Practitioner · (954) 990-0461
Enumeration DateJune 26, 2007
Last NPPES UpdateMarch 30, 2015
✔ NPI 1104022169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 1956772
10472 TAFT ST, Pembroke Pines, FL 33026
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Other Identifiers 2

Medicaid281108100FL
Medicare UPINAF948FL

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

Other Providers at the Same Location NPPES

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

DR. SHAWNA CHARLES DNP
Nurse Practitioner (Family)
10472 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 990-0461

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 The Diabetic Place LLC's NPI number?

The NPI number for The Diabetic Place LLC is 1104022169. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is The Diabetic Place LLC located?

The Diabetic Place LLC is located at 10472 Taft St, Pembroke Pines, FL 33026. The listed phone number is (954) 990-0461.

What is The Diabetic Place LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Diabetic Place LLC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.