Organization
WEST EASTERN HEALTH
Active
Other names
WEHINC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL PAULUS MD (CEO)
(716) 242-9565
Entity
Organization
Contact information
Practice address
4210 VALLEY RIDGE BLVD STE 101, PONTE VEDRA BEACH, FL 32081-5171
(904) 593-8480
(904) 593-7980
Mailing address
4210 VALLEY RIDGE BLVD STE 101, PONTE VEDRA BEACH, FL 32081-5171
(904) 593-8480
(904) 593-7980
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245525781
FLORIDA MEDICAL LICENSE
FL
Enumeration date
12/27/2024
Last updated
01/02/2025
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