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 1760976260

Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2018.

In the registry since
2018
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

15255 Max Leggett Pkwy Ste 5500
Jacksonville, FL 32218-7273
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 number1760976260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedJune 18, 2018
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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