Organization

Jax Psychiatry Llc

Psychiatry Physician in Ponte Vedra, FL(View on Map)

Legal Business Name

Jax Psychiatry Llc

NPI Number

1124538525

NPI Type

Organization

Enumeration Date

10/11/2017

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

145 HILDEN RD STE 108
145 HILDEN RD STE 108

City

Ponte Vedra
Ponte Vedra

State

FL
FL

Postal Code

32081-8401
32081-8401

Country

US
US

Telephone Number

(904) 834-1242
(904) 834-1242

Authorized Official

Name

Riaz Ahmed

Title or Position

M.D./ PRESIDENT

Telephone Number

(904) 834-8042

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

Data last updated by provider on 10/12/2021

Provider Address

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