West Jax Skilled Nursing
West Jax Skilled Nursing is a Family Medicine Physician in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
100 Cypress Lagoon CtPonte Vedra Beach, FL 32082-2106
Phone: (904) 783-2405
Fax: (904) 786-4981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 1750382669 (FL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 1285048280 (FL) |
Record details
| NPI number | 1063898864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Sharpe — Supervisor · (904) 783-2405 |
| NPI enumerated | August 4, 2015 |
| Last updated in NPPES | August 4, 2015 |
| Mailing address | 100 Cypress Lagoon Ct, Ponte Vedra Beach, FL 32082-2106 |
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