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

Jacksonville Spine Center PA

Organization Interventional Pain Medicine Physician · NPI 1609586858

Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

1351 13th Ave S Ste 120
Jacksonville, FL 32250-3237
Phone: (904) 223-3321
Fax: (904) 223-2169
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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

Record details

NPI number1609586858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

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