Ponte Vedra Psychiatry Llc

LBN: Ponte Vedra Psychiatry Llc
Ponte Vedra Psychiatry Llc is an health care organization with primary practice located at 230 Canal Blvd Ste 2 , Ponte Vedra Beach FL 32082-3745. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Ponte Vedra Psychiatry Llc can be contacted via phone (904) 280-6701, or through Spooner, Justin via phone (904) 280-6701.

Contact Information

Primary practice address
230 Canal Blvd Ste 2 Ponte Vedra Beach FL 32082-3745
Phone: (904) 280-6701
Fax: (904) 280-6702
Website:
Map and Directions
Authorized official contact:
Name: Spooner, Justin Doctor of Medicine (MD)
Phone: (904) 280-6701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1366158883
LBN Legal business name Ponte Vedra Psychiatry Llc
DBA Doing business as
Authorized official Spooner, Justin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2023
Last updated Jan 27th, 2023 - 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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