Provider Demographics
NPI:1376951541
Name:INSTITUTE OF ENDOCRINOLOGY DIABETES HEALTH AND HORMONES
Entity Type:Organization
Organization Name:INSTITUTE OF ENDOCRINOLOGY DIABETES HEALTH AND HORMONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIEF
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-522-5490
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32402-2308
Mailing Address - Country:US
Mailing Address - Phone:850-522-5490
Mailing Address - Fax:850-522-5491
Practice Address - Street 1:633 E BALDWIN RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4207
Practice Address - Country:US
Practice Address - Phone:850-522-5490
Practice Address - Fax:850-522-5491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92200207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty