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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