RIVERSIDE SPINE & PAIN PHYSICIANS LLC NPI 1649646811

NPI Information

RIVERSIDE SPINE & PAIN PHYSICIANS, LLC is a specialist in Fleming Island, 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. RIVERSIDE SPINE & PAIN PHYSICIANS, LLC NPI is 1649646811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2349 VILLAGE SQUARE PKWY
SUITE 107
FLEMING ISLAND, FL
ZIP 32003-355
Phone: (904) 389-1010
Fax: (904) 389-1082

The provider's authorized official is Jason Adam Steiger .
The authorized official title is Ceo and has the following contact phone number (904) 389-1010.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 4/18/2016.

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:

Other Identifiers

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

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