NPIMap

Organization Active NPI

North East Florida Endocrine and Diabetes Association, PA

  • Customized Equipment (DME)
  • Jacksonville, FL
National Provider Identifier
1114213519
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION, PA
Practice address
3840 Belfort Rd
Suite 102
Jacksonville, FL 32216-8207
Phone
(904) 739-9129
NPI assigned
Jun 23, 2011
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Segel, M.D.
Title
Physician
Phone
(904) 384-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X FL Primary

Addresses

Primary practice location

3840 Belfort Rd
Suite 102
Jacksonville, FL 32216-8207

Mailing address

915 W Monroe St
Suite 200
Jacksonville, FL 32204-1177

National Provider Directory

National Provider Directory
Tax ID family
NE FL Endocrine Diabetes14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3840 Belfort Rd
Ste 102
Jacksonville, FL 32216
Phone (904) 371-4051

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1114213519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168207",
            "telephone_number": "904-739-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "SEGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-384-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.