Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Diabetic Place LLC

Organization Family Nurse Practitioner · NPI 1104022169

The Diabetic Place LLC is a Family Nurse Practitioner in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10472 Taft St
Pembroke Pines, FL 33026-2819
Phone: (954) 990-0461
Fax: (954) 990-0465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1956772 (FL)

Record details

NPI number1104022169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Charles — Nurse Practitioner · (954) 990-0461
NPI enumeratedJune 26, 2007
Last updated in NPPESMarch 30, 2015
Mailing addressPo Box 848182, Hollywood, FL 33084-0182

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