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JACKSONVILLE PAIN CENTER PA NPI 1114114303


NPI Information

NPI: 1114114303
Provider Name: JACKSONVILLE PAIN CENTER PA
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D1091402

Address:
9421 WAYPOINT PL
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 268-8200
Get Directions

JACKSONVILLE PAIN CENTER PA is an interventional pain medicine pain medicine in Jacksonville, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. JACKSONVILLE PAIN CENTER PA NPI is 1114114303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9421 WAYPOINT PL
JACKSONVILLE, FL
ZIP 32257-229
Phone: (904) 268-8200
Fax: (904) 268-8298

The provider's authorized official is Hemant Shah .
The authorized official title is President/ Owner and has the following contact phone number (904) 268-8200.

The CLIA number assigned to this NPI record is 10D1091402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineME95262FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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