North East Florida Endocrine Diabetes

NPI 1073762548 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073762548
Enumeration Date 09/09/2008
Last Updated 09/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RODEL RODEL
Position ARNP
Phone (904) 384-2240
Fax (904) 384-6055
Practice Location
915 W MONROE ST
SUITE 200
JACKSONVILLE FL, 32204-1177, US
Phone (904) 384-2240
Fax (904) 384-6055
Business Location
915 W MONROE ST
SUITE 200
JACKSONVILLE FL, 32204-1177, US
Phone (904) 384-2240
Fax (904) 384-6055
Toxanomy
Taxonomy Code 363L00000X
License State Florida
License Number 2968382
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According to our database, North East Florida Endocrine Diabetes NPI is 1073762548, taxonomy code is 363L00000X and license number is 2968382, license state is located at Florida. North East Florida Endocrine Diabetes physically located at 915 W Monroe St, Jacksonville FL, 32204-1177. NPI Number 1033115704 has the healthcare provider type.

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1073762548 NPI number is provided on an as is basis without warranty of any kind. 1073762548 is maintained by the National Plan & Provider Enumeration System. The contents of North East Florida Endocrine Diabetes are for informational purposes only.