Organization
NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA M ORAVETZ (CREDENTIALS)
(904) 384-2240
Entity
Organization
Contact information
Practice address
300 SAINT ELIZABETH WAY STE 160, ST JOHNS, FL 32259-1153
(904) 384-2240
(904) 486-2314
Mailing address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/18/2022
Last updated
06/21/2024
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