Organization
PONTE VEDRA NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARI ENG (CEO)
(904) 303-8362
Entity
Organization
Contact information
Practice address
4210 VALLEY RIDGE BLVD STE 113, PONTE VEDRA, FL 32081-5171
(904) 303-8362
Mailing address
176 PARKBLUFF CIR, PONTE VEDRA, FL 32081-0958
(904) 303-8362
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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