Ponte Vedra Psychiatry LLC
Ponte Vedra Psychiatry LLC is a Psychiatry Physician in Ponte Vedra Beach, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
230 Canal Blvd Ste 2Ponte Vedra Beach, FL 32082-3745
Phone: (904) 280-6701
Fax: (904) 280-6702
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1366158883 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Spooner — President · (904) 280-6701 |
| NPI enumerated | January 27, 2023 |
| Last updated in NPPES | January 27, 2023 |
| Certification date | January 27, 2023 |
| Mailing address | 230 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082-3745 |
Other providers in Ponte Vedra Beach
-
Dr. Jorge Andres Diaz, MD
90 Fort Wade Rd Ste 100, Ponte Vedra Beach, FL 32081-5114 · (904) 466-8916
-
Dr. Justin Kuhns Spooner, MD
230 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082-3745 · (904) 280-6701
-
Philip M Yam, MD
203 Fort Wade Rd Unit 250, Ponte Vedra Beach, FL 32081-5214 · (904) 902-4408