# NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457286205
- **Legal business name:** NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
- **Authorized official:** ELENA M ORAVETZ (CREDENTIALING)
- **Authorized official phone:** (904) 384-2240

## Contact information

- **Practice address:** 2511 SAINT JOHNS BLUFF RD S STE 201, JACKSONVILLE, FL 32246-2345
- **Practice address phone:** (904) 384-2240
- **Practice address fax:** (904) 486-2314
- **Mailing address:** 915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
- **Mailing address phone:** (904) 384-2240
- **Mailing address fax:** (904) 486-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 07/29/2026