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

Pain Spine & Wellness LLC

Organization Adult Medicine Physician · NPI 1942868377

Pain Spine & Wellness LLC is an Adult Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9770 Old Baymeadows Rd Ste 141
Jacksonville, FL 32256-7986
Phone: (904) 944-2124
Fax: (888) 241-3383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Pain Medicine Physician Taxonomy 208VP0000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1942868377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sourial Sourial — President · (904) 944-2124
Other names Dedicated Pain & Wellness
NPI enumeratedMay 31, 2019
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address10689 Town View Dr, Jacksonville, FL 32256-4026

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