JACKSONVILLE SPINE CENTER PA – NPI #1609586858
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

JACKSONVILLE SPINE CENTER PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1609586858 to JACKSONVILLE SPINE CENTER PA on November 29, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSONVILLE SPINE CENTER PA below.

NPI Profile for
JACKSONVILLE SPINE CENTER PA

NPI Number
1609586858
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE SPINE CENTER PA
Primary location
1351 13TH AVE S STE 120
JACKSONVILLE, FL 32250-3237
Phone: (904) 223-3321 Fax: (904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 32224-0609
Phone: (904) 223-3321 Fax: (904) 223-2169
Organization Subpart
No
Authorized Official
ALICIA GROTH
CREDENTIALING
Phone: (904) 223-3321
Updated
Certification Date
Nov 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.