Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

ED Rycharde Minoza

Individual provider Physician Assistant · NPI 1336911080

ED Rycharde Minoza is a Physician Assistant in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Northeast Florida Endocrine and Diabetes Associates PA, a 80-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone: (904) 384-2240
Fax: (904) 486-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118117 (FL)

Record details

NPI number1336911080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 26, 2023
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Florida Endocrine And Diabetes Associates Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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