Organization
NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUTTON MD (PRESIDENT)
(904) 384-2240
Entity
Organization
Contact information
Practice address
915 W MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Mailing address
915 W MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
5497720001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37460620
—
FL
Enumeration date
03/14/2012
Last updated
03/14/2012
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