Jose Ponce

NPI 1871100594 · on the registry since 2020 · sole proprietor

Practice

Address: 1620 Helvenston St Se
Live Oak, FL 32064
Phone: (626) 634-1128
Organisation at this address: Nf Suwannee Llc
Delta Health Group Inc
Suwannee Operating Investments Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida