Organization
NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA F CLAY (OFFICE MANAGER)
(904) 384-2240
Entity
Organization
Contact information
Practice address
1670 ST VINCENTS WAY, MIDDLEBURG, FL 32068-8447
(904) 384-2240
(904) 486-2314
Mailing address
915 W MONROE ST, SUITE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374606200
—
FL
Enumeration date
05/13/2014
Last updated
05/02/2017
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