The Diabetic Place LLC
NPI #1104022169 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1104022169
- Entity Type
- Organization
- Organization Name
- The Diabetic Place LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 26, 2007
- Last Updated
- Mar 30, 2015
Practice Location
- Address
- 10472 TAFT ST
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33026-2819
- Phone
- (954) 990-0461
Authorized Official
- Name
- DR. SHAWNA CHARLES, DNP
- Title
- NURSE PRACTITIONER
- Phone
- (954) 990-0461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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