Individual
ERIC PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7807 BAYMEADOWS RD E STE 401, JACKSONVILLE, FL 32256
(904) 730-6899
Mailing address
7807 BAYMEADOWS RD E STE 401, JACKSONVILLE, FL 32256-9668
(904) 730-3689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9110836
FL
Other
Enumeration date
10/16/2017
Last updated
12/02/2019
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