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

Lighthouse Pain and Spine Specialists

Organization Pain Medicine (Anesthesiology) Physician · NPI 1104903160

Lighthouse Pain and Spine Specialists is a Pain Medicine (Anesthesiology) Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

300 Health Park Blvd Ste 5008
St Augustine, FL 32086-3707
Phone: (904) 823-8823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence ME97111 (FL)

Record details

NPI number1104903160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Doyle — Owner · (904) 824-4990
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 3012, St Augustine, FL 32085-3012

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