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 1326659236

Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in Fernandina Beach, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

1699 S 14th St Ste 16
Fernandina Beach, FL 32034-1965
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 number1326659236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedAugust 13, 2020
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 20, 2022
Mailing address5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32256-5004