Male or Other

Eric Ponder PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Eric Ponder PA-C

NPI Number

1447761630

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/16/2017

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9110836

Contact
Information

Purpose

Mailing
Location

Address

7807 BAYMEADOWS RD E STE 401
7807 BAYMEADOWS RD E STE 401

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-9668
32256

Country

US
US

Telephone Number

(904) 730-3689
(904) 730-6899

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/02/2019

Provider Address

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