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

Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc

Organization Chiropractor · NPI 1073799870

Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc is a Chiropractor in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Ponte Vedra Park Dr Ste 150
Ponte Vedra Beach, FL 32082-6601
Phone: (904) 285-2243
Fax: (904) 285-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH6259 (FL)

Record details

NPI number1073799870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Packo — President · (904) 285-2243
NPI enumeratedJanuary 11, 2008
Last updated in NPPESDecember 2, 2016
Mailing address240 Ponte Vedra Park Dr, Suite 150, Ponte Vedra Beach, FL 32082-6601

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