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NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA NPI 1063883197


NPI Information

NPI: 1063883197
Provider Name: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
600 PLANTATION ISLAND DR S
SUITE 1
ST AUGUSTINE, FL
ZIP 32080
Phone: (904) 384-2240
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NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA is an endocrinology and diabetes and metabolism internal medicine in St Augustine, FL. The provider is 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. NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA NPI is 1063883197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 PLANTATION ISLAND DR S
SUITE 1
ST AUGUSTINE, FL
ZIP 32080-010
Phone: (904) 384-2240
Fax: (394) 384-6055

The provider's authorized official is Dena Clay .
The authorized official title is Officer Manager and has the following contact phone number (904) 384-2240.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/15/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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