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

Active since October 15, 2015CLIA 10D0673574 · Waiver
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: September 13, 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 a CLIA Waiver certificate valid through April 17, 2028 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
Open in Google Maps ↗

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

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 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 Assoc2511 St Johns Bluff Rd South Suite 201, Jacksonville, FL 32246
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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0673574) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.