| Emdnow | |
|
102 Queensland Cir Ponte Vedra FL 32081 | |
| (619) 578-3763 | |
| Not Available |
| Full Name | Emdnow |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Queensland Cir, Ponte Vedra, Florida |
| Authorized Official Name and Position | Ivorique Turner (OWNER/MEMBER) |
| Authorized Official Contact | 6195783763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emdnow 102 Queensland Cir Ponte Vedra FL 32081-6063 Ph: (619) 578-3763 | Emdnow 102 Queensland Cir Ponte Vedra FL 32081 Ph: (619) 578-3763 |
| NPI Number | 1609364884 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 09/14/2018 |
| Medicare PECOS PAC ID | 2668724477 |
|---|---|
| Medicare Enrollment ID | O20181005001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609364884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robin J Yelverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558529164 PECOS PAC ID: 3072678275 Enrollment ID: I20090224000014 |
| Provider Name | Jerleshia Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861853087 PECOS PAC ID: 7810250669 Enrollment ID: I20180410001076 |
| Provider Name | Ivorique O Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922077437 PECOS PAC ID: 1355518200 Enrollment ID: I20181005001172 |
| Provider Name | Adam C Hargis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003372194 PECOS PAC ID: 8820337314 Enrollment ID: I20190227002312 |
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