Organization

Premier Spine & Pain Center Pa

Pain Medicine Physician in Orange Park, FL(View on Map)

Legal Business Name

Premier Spine & Pain Center Pa

NPI Number

1679762876

NPI Type

Organization

Enumeration Date

10/24/2007

Specialties

(Taxonomies)

Code

208VP0000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1543 KINGSLEY AVE STE 3
1543 KINGSLEY AVE STE 3

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32073-4583
32073-4583

Country

US
US

Telephone Number

(904) 264-0770
(904) 264-0770

Authorized Official

Name

Dr. Ashraf Andrawis

Title or Position

PRESIDENT

Telephone Number

(904) 264-0770

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

Data last updated by provider on 04/12/2013

Provider Address

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