| Haille Marie Poppe, DPT | |
|
232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | |
| (904) 634-0640 | |
| (904) 634-0203 |
| Full Name | Haille Marie Poppe |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609638600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41130 (Florida) | Primary |
| Provider Name | Southeast Orthopedic Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Haille Marie Poppe, DPT 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Haille Marie Poppe, DPT 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 Ph: (904) 634-0640 |
Emma Taormina, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 Town Plaza Ave Ste B, Ponte Vedra Beach, FL 32081 Phone: 904-222-3780 | |
Stephen Williamson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 465 Town Plaza Ave Ste B, Ponte Vedra Beach, FL 32081 Phone: 904-222-3780 | |
Justin Stuart Gee Ming Ma, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Fairfield Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-996-6922 | |
Brian Wesley Gupton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 880 A1a N, Ste 18a, Ponte Vedra Beach, FL 32082 Phone: 904-778-7501 Fax: 904-778-7504 | |
Jba South Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13000 Sawgrass Village Cir Ste 14, Ponte Vedra Beach, FL 32082 Phone: 904-881-7612 Fax: 770-872-8294 | |
Robert Barnhard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Oak View Cir, Ponte Vedra Beach, FL 32082 Phone: 904-509-7643 | |
Mary Stuart Pratt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 880 A1a N, Ste 18a, Ponte Vedra Beach, FL 32082 Phone: 904-778-7501 Fax: 904-778-7504 |