NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA NPI 1992070585

NPI Information

NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA is a customized equipment durable medical equipment medical supplies in Jacksonville, FL. NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA NPI is 1992070585. The provider is registered as an organization entity type.

The provider's business location address is:

915 W MONROE ST
STE 200
JACKSONVILLE, FL
ZIP 32204-177
Phone: (904) 384-2240
Fax: (904) 384-6055

The provider's authorized official is David Sutton .
The authorized official title is President and has the following contact phone number (904) 384-2240.

The enumeration date for this NPI number is 3/14/2012 and was last updated on 3/14/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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