NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA (NPI# 1396917910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396917910 |
| Entity Type | Organization |
| Organization Name | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| Practice Address |
3550 University Blvd S Ste 204 Jacksonville FL 32216-4246 |
| Mailing Address |
915 W Monroe St Ste 200 Jacksonville FL 32204-1177 |
| Practice Telephone | 9043842240 |
| Practice Fax Number | 9043846055 |
| Mailing Telephone | 9043842240 |
| Mailing Fax Number | 9043846055 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. SCOTT A SEGEL (PHYSICIAN) |
| Authorized Official Telephone | 9043842240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374606200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912108721 | Northeast Florida Endocrine and Diabetes Associates Pa | Specialist | 1635 Eagle Harbor Parkway, Suite 5, Fleming Islang, FL 32003-4827 | 2007-05-30 |
| 1215932520 | Northeast Florida Endocrine and Diabetes Associates Pa | Specialist | 915 West Monroe Street, Suite 200, Jacksonville, FL 32204-1177 | 2005-06-15 |
| 1821299637 | Northeast Florida Endocrine and Diabetes Associates Pa | Specialist | 580 W 8th St, Suite 6005, Jacksonville, FL 32209-6533 | 2007-05-30 |
| 1750582565 | Northeast Florida Endocrine and Diabetes Associates Pa | Specialist | 1375 Roberts Dr, Suite 202, Jacksonville, FL 32250-3210 | 2007-05-30 |
| Street Address |
3550 UNIVERSITY BLVD S STE 204 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717159 | C. Ted Montgomery | Specialist | 3550 University Blvd S, Ste 301, Jacksonville, FL 32216-4225 | 2005-06-02 |
| 1154736304 | Johnny Jada Md | Pediatrics | 3550 University Blvd S, Ste 206, Jacksonville, FL 32216-4246 | 2014-06-26 |
| 1316282478 | Florida Physician Specialists LLC | Urology | 3550 University Blvd S, Suite 202, Jacksonville, FL 32216-4246 | 2012-11-30 |
| 1316194780 | Mellissa Settles | Nurse Practitioner | 3550 University Blvd S, Suite 206, Jacksonville, FL 32216-4246 | 2008-08-27 |
| 1871702928 | Ne Fl Endocrine & Diabetes Assoc, Pa | Specialist | 3550 University Blvd S, Jacksonville, FL 32216-4246 | 2007-05-22 |
| 1013922749 | Edward S Pereira | Internal Medicine | 3550 University Blvd S, Suite 302, Jacksonville, FL 32216-4246 | 2006-07-30 |
| 1831124510 | Ira Michael Jackler | Internal Medicine | 3550 University Blvd S, Suite 207, Jacksonville, FL 32216-4246 | 2006-07-11 |
| 1336170422 | Critical Care of N Jacksonville, Pa | Internal Medicine | 3550 University Blvd S, Suite 207, Jacksonville, FL 32216-4246 | 2006-07-06 |
| 1154396984 | Salwa S Ayad | Specialist | 3550 University Blvd S, Ste 301, Jacksonville, FL 32216-4246 | 2006-02-23 |
| 1295706364 | Robert Miller | Internal Medicine | 3550 University Blvd S, Suite 204, Jacksonville, FL 32216-4255 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318397 | Universal Design Solutions LLC | Durable Medical Equipment & Medical Supplies | 11555 Central Pkwy Ste 1002, Jacksonville, FL 32224-2702 | 2019-04-01 |
| 1700311065 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 11651 Central Pkwy Ste 121, Jacksonville, FL 32224-2709 | 2017-04-25 |
| 1790233385 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042 | 2016-09-13 |
| 1548500911 | Wayne's 1/2 Price Bedding | Durable Medical Equipment & Medical Supplies | 5853 Normandy Blvd, Jacksonville, FL 32205-6252 | 2013-02-22 |
| 1881992030 | Kobe Ellis | Durable Medical Equipment & Medical Supplies | 3745 Southside Blvd, Jacksonville, FL 32216-4637 | 2011-03-10 |
| 1598062978 | Mitchell R Levine Dmd Pa | Durable Medical Equipment & Medical Supplies | 3600 Cardinal Point Dr, Jacksonville, FL 32257-5581 | 2011-02-20 |
| 1689983397 | Menrx Surgical, LLC | Durable Medical Equipment & Medical Supplies | 10302 Deerwood Park Blvd, Suite 209, Jacksonville, FL 32256-2880 | 2010-09-29 |
| 1447586466 | Wng LLC | Durable Medical Equipment & Medical Supplies | 7667 W Beaver St Lot 5, Jacksonville, FL 32220-3601 | 2009-10-27 |
| 1134249410 | Mandarin Eyecare Assoc, Inc | Durable Medical Equipment & Medical Supplies | 11111 San Jose Blvd, Suite 44, Jacksonville, FL 32223-7946 | 2007-03-30 |
| 1720007610 | Realo Discount Drug Stores of Eastern North Carolina, Inc. | Durable Medical Equipment & Medical Supplies | 2680 Henderson Dr, Unit 1, Jacksonville, NC 28546-5296 | 2006-07-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.