RIVERSIDE SPINE & PAIN PHYSICIANS, LLC is a specialist in St Augustine, 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 1710353982. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
105 MARINER HEALTH WAY
UNIT 203
ST AUGUSTINE, FL
ZIP 32086-251
Phone: (904) 389-1010
Fax: (904) 389-1082
The provider's authorized official is Stephen Scott Kramarich .
The authorized official title is Medical Director and has the following contact phone number (904) 389-1010.
The CLIA number assigned to this NPI record is 10D2195634 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/11/2015.