Pace Partners of Northeast Florida, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACE PARTNERS OF NORTHEAST FLORIDA, INC.

Doing business as

PACE Place and The PACE Place

Practice address

5450 Ramona Blvd
Jacksonville, FL 32205-4750

Phone

(904) 407-6207

Fax

(904) 407-8199

NPI assigned

Jun 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Ponder-Stansel

Title

Authorized Official

Phone

(904) 268-5200

Specialties & licenses 1

Addresses

Other names 1

• PACE Place and The PACE Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1851950620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 RAMONA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054750",
            "telephone_number": "904-407-5050",
            "fax_number": "904-407-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 RAMONA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054750",
            "telephone_number": "904-407-6207",
            "fax_number": "904-407-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PARTNERS OF NORTHEAST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "PONDER-STANSEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-268-5200"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACE Place and The PACE Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACE Place and The PACE Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eduardo R Paat Sr., LMFT
• Mark Paauw, MD
• Jonathan L Pabalate, CRNA
• Pablo M Pella, M.D., P.a.
• Pace Center for Girls
• Georgia Pace
• Heather Leigh Pace, MS, RDN
• Megan Pace
• Olicia C Pace
• Samuel David Pace, MSCD, LMT

• PACE Provider Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.