POWER SPINE & PAIN NPI 1558133694

NPI Information

  • NPI: 1558133694
  • Provider Name: POWER SPINE & PAIN
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • :
  • Address: 308 KINGSLEY LAKE DR STE 802
    SAINT AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 342-0438

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NPI Details

POWER SPINE & PAIN is an interventional pain medicine pain medicine in Saint Augustine, 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. POWER SPINE & PAIN NPI is 1558133694. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

308 KINGSLEY LAKE DR STE 802
SAINT AUGUSTINE, FL
ZIP 32092-046
Phone: (904) 342-0438
Fax: (904) 342-0498

The provider's authorized official is Michael Deveau .
The authorized official title is President and has the following contact phone number (904) 342-0438.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 9/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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