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

Jacksonville Brain & Spine PLLC

Organization Neurological Surgery Physician · NPI 1336651009

Jacksonville Brain & Spine PLLC is a Neurological Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7807 Baymeadows Rd E Ste 208
Jacksonville, FL 32256-9666
Phone: (904) 330-0302
Fax: (904) 330-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1336651009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Petr — Owner · (513) 284-6634
NPI enumeratedNovember 2, 2017
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666

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