NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION PA NPI 1114213519

NPI Information

NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION, PA is a customized equipment durable medical equipment medical supplies in Jacksonville, FL. NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION, PA NPI is 1114213519. The provider is registered as an organization entity type.

The provider's business location address is:

3840 BELFORT RD
SUITE 102
JACKSONVILLE, FL
ZIP 32216-207
Phone: (904) 739-9129

The provider's authorized official is Scott Segel .
The authorized official title is Physician and has the following contact phone number (904) 384-2240.

The CLIA number assigned to this NPI record is 10D2105551 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 3/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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