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Contact Information

JACKSONVILLE SPINE CENTER PA
5191 FIRST COAST TECH PKWY
JACKSONVILLE, FL32224
 Phone: 904-223-3321
 Fax: 904-223-2169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for JACKSONVILLE SPINE CENTER PA

NPI # 1881643757
LBN Legal business name JACKSONVILLE SPINE CENTER PA
Authorized official ALICIA GROTH - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 05/09/2023 - About 3 years ago
Identifiers
FL Other 1285604793 NPI # CLAUDIO VINCENTY
FL Other 1912978149 NPI#-CHRISTOPHER ROBERTS
FL Other 1821069055 NPI#-JOHN CAREY, M.D.
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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