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NE FL ENDOCRINE & DIABETES ASSOC, PA
NPI 1871702928
Specialist in Jacksonville, FL

Active since May 22, 2007CLIA 10D0269294 · Waiver
3550 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 384-2240(904) 448-0030 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ne Fl Endocrine & Diabetes Assoc, Pa NPPES

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

NE FL ENDOCRINE & DIABETES ASSOC, PA (NPI 1871702928) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dena F Clay, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871702928
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNE FL ENDOCRINE & DIABETES ASSOC, PA
Location Address3550 UNIVERSITY BLVD SJacksonville, FL 32216-4246
Mailing Address3550 University Blvd SJacksonville, FL 32216-4246 · (904) 384-2240 · Fax (904) 448-0030
Phone(904) 384-2240
Fax(904) 448-0030
Organization SubpartNo
Authorized OfficialDena F ClayOffice Manager · (904) 384-2240
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 19, 2014
✔ NPI 1871702928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3550 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Other Identifiers 2

Medicare ID-Type Unspecified77240FL
Medicaid374606200FL

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

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 10D0269294

NE Florida Endocrine & Diabetes Assoc · Jacksonville, FL
Active · expires Aug 31, 2026
CLIA Number10D0269294
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid Sutton
Laboratory Phone(904) 384-2240
Laboratory LocationNE Florida Endocrine & Diabetes Assoc915 W Monroe St Ste 200, Jacksonville, FL 32204
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 16

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

DR. EDWARD S PEREIRA MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
DRS BAKER & GILMOUR MD PA
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
DR. C. TED MONTGOMERY M.D.
Specialist
3550 UNIVERSITY BLVD S, STE 301
JACKSONVILLE, FL 32216
Duval County (904) 384-2240
JOHNNY JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600
DR. JOHNNY N JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 723-0015
DR. MOUSA R BATEH D.P.M.
Podiatrist (Primary Podiatric Medicine)
3550 UNIVERSITY BLVD S, STE 204
JACKSONVILLE, FL 32216
Duval County (904) 384-2240
DR. TREVOR O GREENE MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, STE 203
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
MRS. MELLISSA SETTLES ARNP
Nurse Practitioner (Pediatrics)
3550 UNIVERSITY BLVD S, SUITE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600

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 NE Fl Endocrine & Diabetes Assoc, PA's NPI number?

The NPI number for NE Fl Endocrine & Diabetes Assoc, PA is 1871702928. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is NE Fl Endocrine & Diabetes Assoc, PA located?

NE Fl Endocrine & Diabetes Assoc, PA is located at 3550 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 384-2240.

What is NE Fl Endocrine & Diabetes Assoc, PA's specialty?

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

Does NE Fl Endocrine & Diabetes Assoc, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0269294) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for NE Fl Endocrine & Diabetes Assoc, PA was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.