| 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 |
|---|---|
| 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 |