Individual provider · Type 1 NPI
Robert Charles Ponte
Psychiatric/Mental Health Nurse Practitioner · Orange Park, FL
NPI number
1093692055
Active
Practice location
462 Kingsley Ave Ste 103
Orange Park, FL 32073-4849
Mailing address
1540 Whitehall Ln
Fleming Island, FL 32003-7296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11039913 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093692055
Robert Charles Ponte's National Provider Identifier is 1093692055, issued on Aug 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orange Park, FL. The record was last updated on Jun 4, 2026.