Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Florida Endocrine and Diabetes Associates, PA

Organization Specialist · NPI 1063883197

Northeast Florida Endocrine and Diabetes Associates, PA is a Specialist in St Augustine, Florida. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Plantation Island Dr S Ste 1
St Augustine, FL 32080-6010
Phone: (904) 384-2240
Fax: (394) 384-6055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1063883197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elena Oravetz — Credentialing · (904) 384-2240
NPI enumeratedOctober 15, 2015
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177

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