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

Robert Charles Ponte

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093692055

Robert Charles Ponte is a Nurse Practitioner in Orange Park, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

462 Kingsley Ave Ste 103
Orange Park, FL 32073-4849
Phone: (904) 673-8543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11039913 (FL)

Record details

NPI number1093692055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2025
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1540 Whitehall Ln, Fleming Island, FL 32003-7296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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