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NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
NPI 1063883197
Specialist in St Augustine, FL

Active since October 15, 2015CLIA Certified · 5 labs
600 PLANTATION ISLAND DR S, SUITE 1, ST AUGUSTINE, FL 32080(904) 384-2240(394) 384-6055 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Florida Endocrine And Diabetes Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA (NPI 1063883197) is a healthcare organization registered as a specialist in St Augustine, Florida and active in the NPI registry since October 2015. The organization holds 5 active CLIA laboratory certificates and lists Elena Oravetz, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063883197
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Location Address600 PLANTATION ISLAND DR S, SUITE 1St Augustine, FL 32080-6010
Mailing Address915 W Monroe St, Suite 200Jacksonville, FL 32204-1177 · (904) 384-2240 · Fax (904) 384-6055
Phone(904) 384-2240
Fax(394) 384-6055
Organization SubpartNo
Authorized OfficialElena OravetzCredentialing · (904) 384-2240
Enumeration DateOctober 15, 2015
Last NPPES UpdateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1063883197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedGeneral PracticeTaxonomy 208D00000X
600 PLANTATION ISLAND DR S, St Augustine, FL 32080
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2105551

Northeast Florida Endocrine And Diabetes Assoc PA · Saint Augustine, FL
Active · expires Nov 29, 2027
CLIA Number10D2105551
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorAnil Shrestha
Laboratory Phone(904) 384-2240
Laboratory LocationNortheast Florida Endocrine And Diabetes Assoc PA600 Plantation Island Dr Ste 1, Saint Augustine, FL 32080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0673574

Northeast Florida Endocrine & Diabetes Assoc · Jacksonville, FL
Active · expires Apr 17, 2028
CLIA Number10D0673574
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorFiras Warda
Laboratory Phone(904) 384-2240
Laboratory LocationNortheast Florida Endocrine & Diabetes Assoc3550 University Blvd South Suite 301, Jacksonville, FL 32216
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2074963

North East Florida Endocrine And Diabetes Associates · Fleming Island, FL
Active · expires Mar 18, 2028
CLIA Number10D2074963
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorRicardo A. Silva
Laboratory Phone(904) 384-2240
Laboratory LocationNorth East Florida Endocrine And Diabetes Associates1635 Eagle Harbor Pkwy Ste 5, Fleming Island, FL 32003
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2131146

Northeast Florida Endocrine & Diabetes Associates, PA · Jacksonville, FL
Active · expires May 22, 2027
CLIA Number10D2131146
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorScott A. Segel
Laboratory Phone(904) 384-2240
Laboratory LocationNortheast Florida Endocrine & Diabetes Associates, PA11236 Baptist Health Dr Ste 340, Jacksonville, FL 32218
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2131148

Northeast Florida Endocrine & Diabetes Associates, PA · Jacksonville Beach, FL
Active · expires May 22, 2027
CLIA Number10D2131148
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorScott A. Segel
Laboratory Phone(904) 384-2240
Laboratory LocationNortheast Florida Endocrine & Diabetes Associates, PA1375 Roberts Drive Ste 202, Jacksonville Beach, FL 32250
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN BLANCO
Pharmacist
600 PLANTATION ISLAND DR S, UNIT 3
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-1081
SUMMER LLOYD-TURNER
Pharmacist
600 PLANTATION ISLAND DR S
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-1081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Florida Endocrine And Diabetes Associates, PA's NPI number?

The NPI number for Northeast Florida Endocrine And Diabetes Associates, PA is 1063883197. It was assigned to this organization in the NPPES registry on October 15, 2015.

Where is Northeast Florida Endocrine And Diabetes Associates, PA located?

Northeast Florida Endocrine And Diabetes Associates, PA is located at 600 Plantation Island Dr S Suite 1, St Augustine, FL 32080. The listed phone number is (904) 384-2240.

What is Northeast Florida Endocrine And Diabetes Associates, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Northeast Florida Endocrine And Diabetes Associates, PA hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeast Florida Endocrine And Diabetes Associates, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Northeast Florida Endocrine And Diabetes Associates, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Florida Endocrine And Diabetes Associates, PA was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.