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Lady Spearhead, Llc
Preferred Provider Organization in Ponte Vedra Beach, Florida
NPI 1770963019

Lady Spearhead, Llc is a Preferred Provider Organization based in Ponte Vedra Beach, FL. Lady Spearhead, Llc practices in Ponte Vedra Beach, FL. The NPI Number for Lady Spearhead, Llc is 1770963019 and holds a License No. (Florida).

The current practice location address for Lady Spearhead, Llc is 10033 Sawgrass Dr W, Ponte Vedra Beach, FL and can be reached out via phone at 904-834-2474.

Location: 10033 Sawgrass Dr W, Ponte Vedra Beach, FL, 32082-3564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770963019
Provider Name
Lady Spearhead, Llc
Credential
Provider Entity Type
Organization
Address
10033 Sawgrass Dr W, Ponte Vedra Beach, FL, 32082-3564
Phone Number
904-834-2474
Fax Number
Provider Enumeration Date
06/02/2015
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
10033 Sawgrass Dr W
City
Ponte Vedra Beach
State
Florida
Zip
32082-3564
Phone Number
904-834-2474
Fax Number
person
Provider Business Mailing Address Details
Address
10033 Sawgrass Dr W
City
Ponte Vedra Beach
State
Florida
Zip
32082-3564
Phone Number
904-834-2474
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
233379 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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