Organization

Spine Institute On The Emerald Coast

May also be knows as The Spine And Pain Institute

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

Legal Business Name

Spine Institute On The Emerald Coast

Also Known As

The Spine And Pain Institute

NPI Number

1780350298

NPI Type

Organization

Enumeration Date

08/17/2021

Specialties

(Taxonomies)

Code

208VP0014X
208VP0000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 600366
12276 SAN JOSE BLVD STE 210

City

St Johns
Jacksonville

State

FL
FL

Postal Code

32260-0366
32223-8631

Country

US
US

Telephone Number

(904) 717-9625
(904) 717-9625

Authorized Official

Name

Amrish Patel

Title or Position

CHIEF MEDICAL OFFICER; OWNER

Telephone Number

(850) 460-2350

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

spineandpain@si.azalea.phimailbox.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

3101 University Blvd S Ste 200Jacksonville, FL322162753US

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

Data last updated by provider on 04/10/2024

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