FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC
NPI 1790123271
Internal Medicine - Endocrinology, Diabetes & Metabolism in St Petersburg, FL

Q: What is Florida Endocrinology & Diabetes Center LLC's specialty?

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

Active since June 06, 2013CLIA 10D2030946 · Waiver

2763 1ST AVE N, ST PETERSBURG, FL 33713(727) 623-9913(727) 803-4852 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Feb 16, 2016 (2 updates tracked since 2016).

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About Florida Endocrinology & Diabetes Center Llc NPPES

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

FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC (NPI 1790123271) is a healthcare organization registered as an endocrinology, diabetes & metabolism in St Petersburg, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through October 6, 2027, maintains a secondary practice location in St Petersburg, and lists Venkata G Budharaju, Owner, as its authorized official.

NPPES Registry Identity

NPI1790123271

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameFLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC

Location Address2763 1ST AVE NSt Petersburg, FL 33713-8723

Mailing AddressPo Box 40725St Petersburg, FL 33743-0725 · (727) 269-5618 · Fax (727) 265-3420

Phone(727) 623-9913

Fax(727) 803-4852

Organization SubpartNo

Authorized OfficialVenkata G BudharajuOwner · (727) 623-9913

Enumeration DateJune 6, 2013

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1790123271 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 · ME108425

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.

2763 1ST AVE N, St Petersburg, FL 33713

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Secondary Practice Location 1

Location 15775 5th Ave NSt Petersburg, FL 33710-7103 · Phone (727) 269-5618

Other Identifiers 1

Medicaid008900700FL

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

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 10D2030946

Florida Endocrinology And Diabetes Center · Pinellas Park, FL

Active · expires Oct 6, 2027

CLIA Number10D2030946

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorVenkat Budharaju

Laboratory Phone(727) 623-9913

Laboratory LocationFlorida Endocrinology And Diabetes Center6229 66th St, N, Pinellas Park, FL 33781

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MASHARIA ANN CLARK ARNP

Nurse Practitioner (Psychiatric/Mental Health)