| Ponte Vedra Psychologists, Llc | |
|
2304 Sawgrass Village Dr Ponte Vedra Beach FL 32082-5007 | |
| (904) 285-4229 | |
| (904) 280-9585 |
| Full Name | Ponte Vedra Psychologists, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2304 Sawgrass Village Dr, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Gregory L Garamoni (OWNER) |
| Authorized Official Contact | 9042854229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Psychologists, Llc 2304 Sawgrass Village Dr Ponte Vedra Beach FL 32082-5007 Ph: (904) 285-4229 | Ponte Vedra Psychologists, Llc 2304 Sawgrass Village Dr Ponte Vedra Beach FL 32082-5007 Ph: (904) 285-4229 |
| NPI Number | 1922348416 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Medicare PECOS PAC ID | 0547405490 |
|---|---|
| Medicare Enrollment ID | O20130325000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922348416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gregory L Garamoni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760451637 PECOS PAC ID: 9739114752 Enrollment ID: I20050928001138 |
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