National Provider Identifier Database

INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION PAIN MANAGE
Interventional Pain Medicine

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.


Contact Information

INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE
1895 KINGSLEY AVE STE 1005B
ORANGE PARK, FL32073-4466
Phone: 904-647-5266
Fax: 904-770-5594
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE

NPI Number 1184171605
Legal business name
LBN
INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE
Authorized official BRIDGET ROBERTS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 09/01/2016
Last updated 08/13/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME117856
  • FL Medicaid: 014945000
  • FL Other: 1154714129 NPI
  • FL Other: 1487954723 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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