MEDICARE: NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	5497720001	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447520747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION

Provider Business Mailing Address
First Line	:	1635 EAGLE HARBOR PKWY STE 5
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32003-4827
Country	:	US
Telephone Number	:	904-384-2240
Fax Number	:	904-385-7777

Provider Business Practice Location Address
First Line	:	1635 EAGLE HARBOR PKWY STE 5
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32003-4827
Country	:	US
Telephone Number	:	904-384-2240
Fax Number	:	904-385-7777

Authorized Official
Title or Position	:	DPM
Name	:	DR. JEFFREY SCHOEN
Credential	:	DPM
Telephone Number	:	904-384-2240

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	01/04/2012

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1598826968 — DR. JEFFREY A SCHOEN DPM
Practice Location Address:

1635 EAGLE HARBOR PKWY , SUITE 5
ORANGE PARK, FL
32003-4827

Practice Phone: 904-384-2240
Practice Fax: 904-385-7777

1912108721 — NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Practice Location Address:

1635 EAGLE HARBOR PARKWAY , SUITE 5
FLEMING ISLANG, FL
32003-4827

Practice Phone: 904-384-2240
Practice Fax: 904-384-6055

1346459021 — MRS. STACI LYNN BRACKEN D.C.
Practice Location Address:

461 KINGSLEY AVE
ORANGE PARK, FL
32073-4827

Practice Phone: 904-213-9805
Practice Fax: 904-213-9806

1013189372 — STARKEY CHIROPRACTIC INC
Practice Location Address:

461 KINGSLEY AVE
ORANGE PARK, FL
32073-4827

Practice Phone: 904-278-8111
Practice Fax: 904-278-5222

1619390903 — BURNHAM CHIROPRACTIC ENTERPRISES, LLC
Practice Location Address:

461 KINGSLEY AVE
ORANGE PARK, FL
32073-4827

Practice Phone: 904-310-4563
Practice Fax: 904-639-5220

Directions to “NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.