Individual provider · Type 1 NPI

Eric G. Ponder, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1447761630 Active

Practice location

11525 Village Crossing Dr Ste 1101
Jacksonville, FL 32256-3169

Call (904) 730-3689 Map

Fax (904) 730-3688

Mailing address

PO Box 746649
Atlanta, GA 30374-6649

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9110836 (FL)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1447761630

Eric G. Ponder, PA-C's National Provider Identifier is 1447761630, issued on Oct 16, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 31, 2026.