Northeast Florida Endocrine and Diabetes Associates PA
NPI 1215932520ActiveOrganization· General Practice· Jacksonville, FL
General Practice in Jacksonville, Florida, registered in NPPES in June 2005. The authorized official on file is Elena Oravetz, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215932520 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2005 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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