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

ED Rycharde Minoza

Individual provider Physician Assistant · NPI 1336911080

ED Rycharde Minoza is a Physician Assistant in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Northeast Florida Endocrine and Diabetes Associates PA, a 80-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone: (904) 384-2240
Fax: (904) 486-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118117 (FL)

Record details

NPI number1336911080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 26, 2023
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address915 W Monroe St Ste 200, Jacksonville, FL 32204-1177

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Florida Endocrine And Diabetes Associates Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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