NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA (NPI# 1992070585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992070585 |
| Entity Type | Organization |
| Organization Name | NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC PA |
| Practice 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 | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | DR. DAVID SUTTON (PRESIDENT) |
| 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 |
5497720001 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 37460620 | 05 |
| Street Address |
915 W MONROE ST STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252523 | David R Sutton Jr. | Specialist | 915 W Monroe St, Ste 200, Jacksonville, FL 32204-1177 | 2005-06-02 |
| 1558870345 | Habibu Barrie | Nurse Practitioner | 915 W Monroe St, Jacksonville, FL 32204-1177 | 2017-09-25 |
| 1215475157 | Christine Lee | Physician Assistant | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2017-02-10 |
| 1962954990 | Diana Ugljesic | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-10-25 |
| 1205381571 | Kathleen Frank Fort | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-08-16 |
| 1407204845 | Angel Coffey | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-05-26 |
| 1730534470 | Health Suite Inc | Internal Medicine | 915 W Monroe St, Suite 301, Jacksonville, FL 32204-1177 | 2016-05-02 |
| 1013375195 | Duval Vascular Center, LLC | Internal Medicine | 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 2016-02-04 |
| 1518232065 | Sca Dermatology, LLC | Dermatology | 915 W Monroe St, S. 101, Jacksonville, FL 32204-1177 | 2012-03-16 |
| 1467772780 | Gina Michelle Mele | Internal Medicine | 915 W Monroe St, Suite 301 Lavilla 2 Bldg., Jacksonville, FL 32204-1177 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 | 32204 |
Please comment or provide details below to improve the information on NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOC 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.