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JACKSONVILLE SPINE CENTER PA NPI 1760976260


NPI Information

NPI: 1760976260
Provider Name: JACKSONVILLE SPINE CENTER PA

Doing Business As: JAX SPINE & PAIN CENTERS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 223-3321
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JACKSONVILLE SPINE 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 SPINE CENTER PA NPI is 1760976260. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jax Spine & Pain Centers.

The provider's business location address is:

15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL
ZIP 32218-273
Phone: (904) 223-3321
Fax: (904) 223-2169

The provider's authorized official is Alicia Groth .
The authorized official title is Credentialing Specialist and has the following contact phone number (904) 223-3321.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 9/26/2022.


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 MedicineYes

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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