Organization

Jacksonville Spine Center Pa

May also be knows as Jax Spine & Pain Centers

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

Legal Business Name

Jacksonville Spine Center Pa

Also Known As

Jax Spine & Pain Centers

NPI Number

1881643757

NPI Type

Organization

Enumeration Date

05/09/2006

Specialties

(Taxonomies)

Code

207LP2900X
208VP0014X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

5191 FIRST COAST TECH PKWY
5191 FIRST COAST TECH PKWY

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224
32224

Country

US
US

Telephone Number

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

Authorized Official

Name

Alicia Groth

Title or Position

CREDENTIALING SPECIALIST

Telephone Number

(904) 223-3321

Identifiers

Identifier

1285604793
1912978149
1821069055

Identifier State

FL
FL
FL

Identifier Issuer

NPI # CLAUDIO VINCENTY
NPI#-CHRISTOPHER ROBERTS
NPI#-JOHN CAREY, M.D.

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

Data last updated by provider on 05/09/2023

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