ENDOCRINE CRE CENTER PLLC NPI 1174466064

NPI Information

  • NPI: 1174466064
  • Provider Name: ENDOCRINE CRE CENTER, PLLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 8048 GREEN GLADE RD
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (313) 450-5274

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NPI Details

ENDOCRINE CRE CENTER, PLLC is an endocrinology and diabetes and metabolism internal medicine in Jacksonville, 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. ENDOCRINE CRE CENTER, PLLC NPI is 1174466064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8048 GREEN GLADE RD
JACKSONVILLE, FL
ZIP 32256-302
Phone: (313) 450-5274

The provider's authorized official is Salma Makhoul Ahwach .
The authorized official title is Owner and has the following contact phone number (313) 450-5274.

The enumeration date for this NPI number is 4/14/2026 and was last updated on 4/14/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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