Organization
PACE PARTNERS OF NORTHEAST FLORIDA, INC.
Active
Other names
PACE Place and The PACE Place
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PONDER-STANSEL (AUTHORIZED OFFICIAL)
(904) 268-5200
Entity
Organization
Contact information
Practice address
5450 RAMONA BLVD, JACKSONVILLE, FL 32205-4750
(904) 407-6207
(904) 407-8199
Mailing address
5450 RAMONA BLVD, JACKSONVILLE, FL 32205-4750
(904) 407-5050
(904) 407-8123
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
08/23/2023
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