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
1301 PLANTATION ISLAND DR S, SUITE 203A, ST AUGUSTINE, FL 32080-3108
(904) 384-2240
(904) 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374606200
—
FL
Enumeration date
02/12/2016
Last updated
02/12/2016
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