Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaches Behavioral Medicine

Organization Addiction Medicine (Family Medicine) Physician · NPI 1417309832

Beaches Behavioral Medicine is an Addiction Medicine (Family Medicine) Physician in Jacksonville Beach, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
8

Practice location Address checks out

1351 13th Ave S Ste 120
Jacksonville Beach, FL 32250-3237
Phone: (904) 280-6701
Fax: (904) 280-6702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 Park St, Jacksonville, FL 32204 — (904) 280-6701

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence ME115625 (FL)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1417309832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Spooner — President · (904) 280-6701
Other names Beaches Laser Spine And Pain Medicine; Beaches Specialty Group
NPI enumeratedJuly 9, 2016
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing addressPo Box 1557, Ponte Vedra Beach, FL 32004-1557