Jba South Llc | |
13000 Sawgrass Village Cir Ste 14, Ponte Vedra Beach, FL 32082-3078 | |
(904) 881-7612 | |
(770) 872-8294 |
Full Name | Jba South Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 13000 Sawgrass Village Cir Ste 14, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144938481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Donne Ordile |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538704259 PECOS PAC ID: 3870963465 Enrollment ID: I20221222001340 |
Mailing Address | Practice Location Address |
---|---|
Jba South Llc 4150 Cordgrass Inlet Dr, Jacksonville, FL 32250-1821 Ph: (904) 881-7612 | Jba South Llc 13000 Sawgrass Village Cir Ste 14, Ponte Vedra Beach, FL 32082-3078 Ph: (904) 881-7612 |
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 | |
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 |