Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc

Organization Chiropractor · NPI 1073799870

Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc provides Chiropractor services in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Ponte Vedra Park Dr Ste 150
Ponte Vedra Beach, FL 32082-6601
Phone: (904) 285-2243
Fax: (904) 285-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH6259 (FL)

Record details

NPI number1073799870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Packo — President · (904) 285-2243
NPI enumeratedJanuary 11, 2008
Last updated in NPPESDecember 2, 2016
Mailing address240 Ponte Vedra Park Dr, Suite 150, Ponte Vedra Beach, FL 32082-6601

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