Pontius, Cody Randall

Pontius, Cody Randall is an individual health care provider with primary practice located at 460 Davis Park Rd , Ponte Vedra FL 32081-0544. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pontius, Cody Randall can be contacted via phone (904) 547-7387.

Contact Information

Primary practice address
460 Davis Park Rd Ponte Vedra FL 32081-0544
Phone: (904) 547-7387
Fax: (904) 547-7355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3584 Florida

Profile Details

NPI number 1023542891
LBN Legal business name Pontius, Cody Randall
Credentials MED, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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