Jacksonville Spine Center PA
Jacksonville Spine Center PA is an Interventional Pain Medicine Physician in Fleming Island, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2349 Village Square Pkwy Ste 107Fleming Island, FL 32003-4319
Phone: (904) 223-3321
Fax: (904) 223-2169
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1912560798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Groth — Credentialing Specialist · (904) 223-3321 |
| Other names | Jax Spine & Pain Centers |
| NPI enumerated | April 17, 2019 |
| Last updated in NPPES | September 23, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224 |