Organization

Jacksonville Spine Center Pa

Interventional Pain Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Jacksonville Spine Center Pa

NPI Number

1306556550

NPI Type

Organization

Enumeration Date

11/29/2022

Specialties

(Taxonomies)

Code

208VP0014X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5191 FIRST COAST TECH PKWY FL 3
2550 PARK ST STE B

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-0609
32204-4518

Country

US
US

Telephone Number

(904) 223-3321
(904) 223-3321

Authorized Official

Name

Alicia Groth

Title or Position

CREDENTIALING

Telephone Number

(904) 223-3321

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/29/2022

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