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Contact Information

MEDICUSSX SPINE & JOINT, LLC
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL32216
 Phone: 904-503-1065
 Fax: 904-374-6075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Chiropractor

111N00000X 35 Chiropractic
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEDICUSSX SPINE & JOINT, LLC

NPI Number 1932729639
LBN Legal business name MEDICUSSX SPINE & JOINT, LLC
Authorized official JASON MARUCCI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2020
Last updated 04/11/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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