NPI 1851950620

Pace Partners of Northeast Florida, INC.

Organisation PACE Provider Organization Jacksonville, FL

Practice location

Address: 5450 Ramona Blvd, Jacksonville, FL 32205-4750
Phone: (904) 407-6207
Fax: (904) 407-8199

Authorised official

Name: Susan Ponder-Stansel
Title: Authorized Official
Phone: (904) 268-5200

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1851950620
Entity type: Organization
NPI issued: 6 Jun 2019
Record last updated: 23 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.