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

Jacksonville Spine Center PA

Organization Pain Medicine (Anesthesiology) Physician · NPI 1881643757

Jacksonville Spine Center PA is a Pain Medicine (Anesthesiology) Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

5191 First Coast Tech Pkwy
Jacksonville, FL 32224
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

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1881643757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Jax Spine & Pain Centers; Jax Spine & Pain Centers
NPI enumeratedMay 9, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224

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