PREMIER SPINE SPECIALISTS LLC NPI 1669756227

NPI Information

  • NPI: 1669756227
  • Provider Name: PREMIER SPINE SPECIALISTS, LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 10801 SW TRADITION SQ
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (772) 345-3933

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NPI Details

PREMIER SPINE SPECIALISTS, LLC is a pain medicine physical medicine rehabilitation in Port St Lucie, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PREMIER SPINE SPECIALISTS, LLC NPI is 1669756227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10801 SW TRADITION SQ
PORT ST LUCIE, FL
ZIP 34987-934
Phone: (772) 345-3933
Fax: (772) 345-3937

The provider's authorized official is William J Jensen .
The authorized official title is Owner and has the following contact phone number (772) 345-3933.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 9/30/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineME105483FLORIDAYes

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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