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 1861197071

Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in Altamonte Springs, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

659 Douglas Ave
Altamonte Springs, FL 32714-2509
Phone: (904) 223-3321
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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 number1861197071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Manager · (904) 223-3321
Other names Centurion Spine & Pain Centers
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

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