NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA (NPI# 1770942260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770942260 |
| Entity Type | Organization |
| Organization Name | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA |
| Practice Address |
1301 Plantation Island Dr S Suite 203a St Augustine FL 32080-3108 |
| Mailing Address |
915 W Monroe St Suite 200 Jacksonville FL 32204-1177 |
| Practice Telephone | 9043842240 |
| Practice Fax Number | 9043846055 |
| Mailing Telephone | 9043842240 |
| Mailing Fax Number | 9043846055 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MRS. DENA F CLAY (OFFICE MANAGER) |
| Authorized Official Telephone | 9043842240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374606200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063883197 | Northeast Florida Endocrine and Diabetes Associates, Pa | Internal Medicine | 600 Plantation Island Dr S, Suite 1, St Augustine, FL 32080-6010 | 2015-10-15 |
| 1205247210 | Northeast Florida Endocrine and Diabetes Associates, Pa | Specialist | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2014-05-13 |
| Street Address |
1301 PLANTATION ISLAND DR S SUITE 203A |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900893 | Melchor G Barros | Family Medicine | 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080-3108 | 2005-08-26 |
| 1316487218 | Jesse Fazzingo | Nurse Practitioner | 1301 Plantation Island Dr S, Suite 302a, St Augustine, FL 32080-3108 | 2017-02-27 |
| 1407390529 | Nakisha Marie Carrasquillo-richardson | Psychologist | 1301 Plantation Island Dr S, Ste. 201 A, St Augustine, FL 32080-3108 | 2016-12-08 |
| 1841733268 | Ronda Jo Jarvis | Social Worker | 1301 Plantation Island Dr S, Suite 201a, St Augustine, FL 32080-3108 | 2016-12-03 |
| 1528510047 | Michelle Murray Craun | Marriage & Family Therapist | 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080-3108 | 2016-11-01 |
| 1730549817 | Physician Associates Group, Inc. | Psychiatry & Neurology | 1301 Plantation Island Dr S, Suite 201-a, St Augustine, FL 32080-3108 | 2016-03-02 |
| 1518339761 | Cindy O Chaconas | Physical Therapist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3111 | 2015-10-28 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| 1962719492 | Alejandro Navarro | Physician Assistant | 1301 Plantation Island Dr S, Ste 140, St Augustine, FL 32080-3108 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158344 | Monica Mcnally | Specialist | 109 Hammock Cir, St Augustine, FL 32084-1754 | 2011-09-19 |
| 1619267671 | Ancient City Children's Therapy, LLC | Specialist | 367 Gianna Way, St Augustine, FL 32086-3858 | 2011-04-12 |
| 1700184892 | Johannie Garcia | Specialist | 910 S. Winterhawk Dr. # 107, St Augustine, FL 32086-3858 | 2011-03-14 |
| 1124291885 | Daniel Aaron Weinberg | Specialist | 200 San Sebastian Vw Ste 2102, St Augustine, FL 32084 | 2008-04-02 |
| 1013187574 | Debbie's Day Spa & Salon | Specialist | 403 Anastasia Blvd, St Augustine, FL 32080-4508 | 2008-03-11 |
| 1386868693 | Edward H Scarpitti | Specialist | 17 St Johns Medical Park Dr., St Augustine, FL 32086-4331 | 2007-04-11 |
| 1295870830 | Paul D Jayachandra M D P A | Specialist | 1680 Osceola Elementary School Road, Suite A, St Augustine, FL 32084 | 2007-02-21 |
| 1285608299 | Daniel A Warner | Specialist | 1100 Plantation Island Dr S Ste 230, St Augustine, FL 32080 | 2006-02-15 |
| 1285613315 | John Edward Prioleau | Specialist | 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | 2006-01-17 |
| 1750382487 | Paul W Hund IIi | Specialist | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2005-08-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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.