# ENDOCRINE CRE CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174466064
- **Authorized official:** SALMA MAKHOUL AHWACH (OWNER)
- **Authorized official phone:** (313) 450-5274

## Contact information

- **Practice address:** 8048 GREEN GLADE RD, JACKSONVILLE, FL 32256-7302
- **Practice address phone:** (313) 450-5274
- **Mailing address:** 8048 GREEN GLADE RD, JACKSONVILLE, FL 32256-7302
- **Mailing address phone:** (313) 450-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2026
- **Last updated:** 04/14/2026