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PAIN SPINE & WELLNESS LLC NPI 1942868377


NPI Information

NPI: 1942868377
Provider Name: PAIN SPINE & WELLNESS LLC
Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D2210223

Address:
9770 OLD BAYMEADOWS RD STE 141
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 944-2124
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PAIN SPINE & WELLNESS LLC is a pain medicine pain medicine in Jacksonville, FL. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. PAIN SPINE & WELLNESS LLC NPI is 1942868377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9770 OLD BAYMEADOWS RD STE 141
JACKSONVILLE, FL
ZIP 32256-986
Phone: (904) 944-2124
Fax: (888) 241-3383

The provider's authorized official is Sourial Morris Sourial .
The authorized official title is President and has the following contact phone number (904) 944-2124.

The CLIA number assigned to this NPI record is 10D2210223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2019 and was last updated on 5/25/2021.


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
1207Q00000XFamily MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
3208VP0000XPain MedicinePain MedicineYes
4208VP0014XPain MedicineInterventional Pain MedicineNo
5261QM1300XClinic/CenterMulti-SpecialtyNo

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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