1. Home
  2. Directory
  3. NPI Profile

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
NPI 1912108721
Durable Medical Equipment & Medical Supplies - Customized Equipment in Fleming Islang, FL

Active since May 30, 2007
1635 EAGLE HARBOR PARKWAY, SUITE 5, FLEMING ISLANG, FL 32003(904) 384-2240(904) 384-6055 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 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 1912108721) is a healthcare organization registered as a customized equipment in Fleming Islang, Florida and active in the NPI registry since May 2007. The organization lists Dena Clay, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1912108721
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameNORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Location Address1635 EAGLE HARBOR PARKWAY, SUITE 5Fleming Islang, FL 32003-4827
Mailing Address1635 Eagle Harbor Parkway, Suite 5Fleming Islang, FL 32003-4827 · (904) 384-2240 · Fax (904) 384-6055
Phone(904) 384-2240
Fax(904) 384-6055
Organization SubpartNo
Authorized OfficialDena ClayOffice Mgr · (904) 384-2240
Enumeration DateMay 30, 2007
Last NPPES UpdateOctober 18, 2012
✔ NPI 1912108721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in FL · 5497720001
Also ListedSpecialistTaxonomy 174400000X
1635 EAGLE HARBOR PARKWAY, Fleming Islang, FL 32003
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC5497720002FL
Medicaid374606200FL
Medicare PIN77240FL

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

Frequently Asked Questions

What is NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA's NPI number?

The NPI number assigned to this healthcare provider is 1912108721, enumerated as an "organization" on May 30, 2007.

Where is the provider located?

The provider is located at 1635 EAGLE HARBOR PARKWAY SUITE 5 FLEMING ISLANG, FL 32003 and the phone number is (904) 384-2240.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

What insurance does NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.