Organization
NE FL ENDOCRINE & DIABETES ASSOC, 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
3550 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4246
(904) 384-2240
(904) 448-0030
Mailing address
3550 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4246
(904) 384-2240
(904) 448-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374606200
—
FL
Enumeration date
05/22/2007
Last updated
05/19/2014
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