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Organization
NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Active
Organization
NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA ORAVETZ (CREDENTIALING)
(904) 384-2240
Entity
Organization
Contact information
Practice address
915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Mailing address
915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374606200
—
FL
Enumeration date
06/15/2005
Last updated
06/26/2025
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