Ponte Vedra Physical Therapy, Inc.

LBN: Ponte Vedra Physical Therapy, Inc.
Ponte Vedra Physical Therapy, Inc. is an health care organization with primary practice located at 880 A1A N Suite 18A, Ponte Vedra Beach FL 32082-3221. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Ponte Vedra Physical Therapy, Inc. can be contacted via phone (904) 285-2910, or through Parks, Jeffrey C via phone (904) 285-2910.

Contact Information

Primary practice address
880 A1A N Suite 18A Ponte Vedra Beach FL 32082-3221
Phone: (904) 285-2910
Fax: (904) 285-4663
Website:
Map and Directions
Authorized official contact:
Name: Parks, Jeffrey C
Phone: (904) 285-2910

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1043246580
LBN Legal business name Ponte Vedra Physical Therapy, Inc.
DBA Doing business as
Authorized official Parks, Jeffrey C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 7th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043246580 NPPES
Florida Other R9F BCBS

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