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
600 PLANTATION ISLAND DR S, SUITE 1, ST AUGUSTINE, FL 32080-6010
(904) 384-2240
(394) 384-6055
Mailing address
915 W MONROE ST, SUITE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/15/2015
Last updated
06/21/2024
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