West Eastern Health

LBN: West Eastern Health
West Eastern Health is an health care organization with primary practice located at 4210 Valley Ridge Blvd Ste 101 , Ponte Vedra Beach FL 32081-5171. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. West Eastern Health can be contacted via phone (904) 593-8480, or through Paulus, Aneel via phone (716) 242-9565.

Contact Information

Primary practice address
4210 Valley Ridge Blvd Ste 101 Ponte Vedra Beach FL 32081-5171
Phone: (904) 593-8480
Fax: (904) 593-7980
Website:
Map and Directions
Authorized official contact:
Name: Paulus, Aneel Doctor of Medicine (MD)
Phone: (716) 242-9565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1255149829
LBN Legal business name West Eastern Health
DBA Doing business as
Authorized official Paulus, Aneel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2024
Last updated Jan 2nd, 2025 - about last year

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 1255149829 NPPES
Florida Other 1245525781 FLORIDA MEDICAL LICENSE

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