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

Jacksonville Spine Center PA

Organization Interventional Pain Medicine Physician · NPI 1194248229

Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in St Augustine, Florida. Registered with an NPI since 2017.

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

See every abbreviation used in this directory →

Practice location Address checks out

1100 Plantation Island Dr S Ste 220
St Augustine, FL 32080-5174
Phone: (904) 223-3321
Fax: (904) 223-2169
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1194248229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedJuly 20, 2017
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 20, 2022
Mailing address5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224

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