Organization
OHW VENTURES LLC
Active
Other names
Ponte Vedra Spine and Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI STEVEN LOCH D.O. (OWNER)
(352) 214-2247
Entity
Organization
Contact information
Practice address
380 TOWN PLAZA AVE STE 420, PONTE VEDRA, FL 32081-5177
(904) 431-0780
Mailing address
380 TOWN PLAZA AVE STE 420, PONTE VEDRA, FL 32081-5177
(904) 750-3787
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
12/16/2023
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