NPI Profile for CRG34AH01 LLC in JACKSONVILLE, FL.
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Brain Injury Medicine |
2084P0301X | 86 | Physician/Neuropsychiatry | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Orthopaedic Surgery of the Spine |
207XS0117X | 02 | Physician/General Surgery | |
Orthopaedic Trauma |
207XX0801X | 02 | Physician/General Surgery |
| NPI # | 1265284574 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/02/2024 | |
| Last updated | 04/02/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CRG34AH01 LLC
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| LAURA J ROWE, ARNP 3599 UNIVERSITY BLVD. SOUTH JACKSONVILLE, FL |
| PAMELA S BUCKALLEW, ARNP 4311 SALISBURY ROAD JACKSONVILLE, FL |
| COLLEEN K SUTTER, ARNP 4057 ATLANTIC BLVD JACKSONVILLE, FL |
| RAJ D SHETH, MD 807 CHILDREN'S WAY JACKSONVILLE, FL |
| BAPTIST CARDIOLOGY INC 11851 STILLWOOD PINES BLVD JACKSONVILLE, FL |
| SARAL CARELA, APRN 10131 SAN JOSE BLVD STE 24 JACKSONVILLE, FL |
| RODEL GLORIA, APRN 915 WEST MONROE STREET JACKSONVILLE, FL |
| JARED A WEEKS, APRN 580 WEST 8TH STREET, TOWER 1 8TH FLOOR JACKSONVILLE, FL |
| DAVID E VINCENT, M.D. 6467 GREENLAND RD JACKSONVILLE, FL |
| MAUREEN C BAXTER, NP 815 PLAZA JACKSONVILLE, FL |