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

Jacksonville Pain Center PA

Organization Interventional Pain Medicine Physician · NPI 1114114303

Jacksonville Pain Center PA is an Interventional Pain Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9421 Waypoint Pl
Jacksonville, FL 32257-9229
Phone: (904) 268-8200
Fax: (904) 268-8298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence ME95262 (FL)

Record details

NPI number1114114303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hemant Shah — President/ Owner · (904) 268-8200
NPI enumeratedOctober 1, 2007
Last updated in NPPESDecember 21, 2010
Mailing addressPo Box 600290, Jacksonville, FL 32260-0290

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