MEDICARE: PEP NETWORK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1497196000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEP NETWORK LLC

Provider Business Mailing Address
First Line	:	5150 PALM VALLEY RD
Second Line	:	SUITE 200
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-4629
Country	:	US
Telephone Number	:	904-834-2260
Fax Number	:	904-834-3968

Provider Business Practice Location Address
First Line	:	5150 PALM VALLEY RD
Second Line	:	SUITE 200
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-4629
Country	:	US
Telephone Number	:	904-834-2260
Fax Number	:	904-834-3968

Authorized Official
Title or Position	:	MANAGING PRINCIPAL
Name	:	MR. JON CHARLES KAEUPER
Credential	:	BS
Telephone Number	:	904-834-2260

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	07/11/2013

Similar Medicare Providers

1114525870 — KAYLA JEAN ABBOTT OTR/L
Practice Location Address:

5150 PALM VALLEY RD
PONTE VEDRA BEACH, FL
32082-4629

Practice Phone: 904-382-9790
Practice Fax:

1669214391 — MS. CHANDRE TRANECE PRYOR
Practice Location Address:

5150 PALM VALLEY RD
PONTE VEDRA, FL
32082-4629

Practice Phone: 904-746-3320
Practice Fax:

1629097860 — KLEIN AND BEGNOCHE DENTAL, PA
Practice Location Address:

200 KNUTH RD , SUITE 140
BOYNTON BEACH, FL
33436-4629

Practice Phone: 561-737-1600
Practice Fax:

1578583076 — DR. SUZANNE YVETTE SUCCOP M.D.
Practice Location Address:

200 KNUTH RD , SUITE 150
BOYNTON BEACH, FL
33436-4629

Practice Phone: 561-738-7007
Practice Fax: 561-738-7421

1548480130 — AMY FORSTEIN D.C.
Practice Location Address:

4935 OKEECHOBEE BLVD
WEST PALM BEACH, FL
33417-4629

Practice Phone: 561-682-9383
Practice Fax: 561-682-9499

1972789964 — COMPLETE REHAB & MEDICAL CENTER OF WEST PALM BEACH
Practice Location Address:

4935 OKEECHOBEE BLVD
WEST PALM BEACH, FL
33417-4629

Practice Phone: 561-682-9383
Practice Fax: 567-682-9499

Directions to “PEP NETWORK LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.