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

Spine Institute on the Emerald Coast

Organization Pain Medicine Physician · NPI 1780350298

Spine Institute on the Emerald Coast is a Pain Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

12276 San Jose Blvd Ste 210
Jacksonville, FL 32223-8631
Phone: (904) 717-9625
Fax: (904) 683-6499
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1780350298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amrish Patel — Chief Medical Officer; Owner · (850) 460-2350
Other names The Spine And Pain Institute; The Spine And Pain Institute
NPI enumeratedAugust 17, 2021
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing addressPo Box 600366, St Johns, FL 32260-0366

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