Innovative Physiatry Spine Clinic, LLC
Innovative Physiatry Spine Clinic, LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in St Johns, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
165 Durbin Station Ct Ste 601St Johns, FL 32259-9370
Phone: (904) 671-0288
Fax: (904) 508-0674
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence OS12124 (FL) |
|---|
Record details
| NPI number | 1487175881 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Seck Lim — Practice Administrator · (904) 671-0288 |
| NPI enumerated | July 6, 2017 |
| Last updated in NPPES | September 2, 2021 |
| Certification date | September 2, 2021 |
| Mailing address | Po Box 385, Ponte Vedra Beach, FL 32004-0385 |