Provider Demographics
NPI:1497196000
Name:PEP NETWORK LLC
Entity Type:Organization
Organization Name:PEP NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KAEUPER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:904-834-2260
Mailing Address - Street 1:5150 PALM VALLEY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-4629
Mailing Address - Country:US
Mailing Address - Phone:904-834-2260
Mailing Address - Fax:904-834-3968
Practice Address - Street 1:5150 PALM VALLEY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-4629
Practice Address - Country:US
Practice Address - Phone:904-834-2260
Practice Address - Fax:904-834-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)