REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.


Address: 752 Stirling Center Pl, Suite 1008, Lake Mary, FL 32746-4889
Phone: 4073331212

REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC. (NPI# 1215957741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215957741
Entity Type Organization
Organization Name REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.
Practice Address 752 Stirling Center Pl
Suite 1008
Lake Mary
FL 32746-4889
Practice Telephone 4073331212
Practice Fax Number 4073331213
Mailing Telephone 4073331212
Mailing Fax Number 4073331213
Enumeration Date 2006-07-20
Last Update Date 2013-10-10
Authorized Official Name MAHA F ANSARA (PRESIDENT/PHYSICIAN)
Authorized Official Telephone 4073331212
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0075530 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 270616400 05
FL BCBS OF FLORIDA GROUP ID# 74739 01

Office Location

Street Address 752 STIRLING CENTER PL
SUITE 1008
City LAKE MARY
State FL
Zip Code 32746-4889

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295754356 Maha F Ansara Internal Medicine 752 Stirling Center Pl, Suite 1008, Lake Mary, FL 32746-4889 2006-07-19
1699786152 Sami K. Banoub Dentist 752 Stirling Center Pl, Suite 1000, Lake Mary, FL 32746-4889 2006-08-10

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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295754356 Maha F Ansara Internal Medicine 752 Stirling Center Pl, Suite 1008, Lake Mary, FL 32746-4889 2006-07-19
1891725206 Victor L. Roberts Internal Medicine 766 N. Sun Drive, Suite 2060, Lake Mary, FL 32746 2006-07-03
1659382042 Endocrine Associates of Fl Internal Medicine 766 N Sun Dr, Suite 2060, Lake Mary, FL 32746-2553 2006-08-10

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1447750773 Smh Physician Services Inc Internal Medicine 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 2018-02-13
1376087593 Dar Endocrinology Services LLC Internal Medicine 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 2016-12-07
1073064127 Tampa General Medical Group Inc Internal Medicine 10740 Palm River Road, Ste 360, Tampa, FL 33619 2016-10-24
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City LAKE MARY
Zip Code 32746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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