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SUNSHINE SPINE AND PAIN PA NPI 1215233184


NPI Information

NPI: 1215233184
Provider Name: SUNSHINE SPINE AND PAIN PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14540 OLD SAINT AUGUSTINE RD
MOB 2 SUITE 2397
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 292-2700
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SUNSHINE SPINE AND PAIN PA is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUNSHINE SPINE AND PAIN PA NPI is 1215233184. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14540 OLD SAINT AUGUSTINE RD
MOB 2 SUITE 2397
JACKSONVILLE, FL
ZIP 32258-418
Phone: (904) 292-2700
Fax: (904) 292-2666

The provider's authorized official is Teresa Friedley .
The authorized official title is Practice Administator and has the following contact phone number (904) 292-2700.

The enumeration date for this NPI number is 2/9/2011 and was last updated on 7/25/2011.


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
1174400000XSpecialistME84002FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G54001MEDICARE UPINFLORIDA
2K8356MEDICARE PINFLORIDA
35987360001MEDICARE NSCFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.