<Unavail>
LBN: Beaches Behavioral Medicine
<Unavail> is an health care organization with primary practice located at 1351 13Th Ave S Ste 120 , Jacksonville Beach FL 32250-3237. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Beaches Behavioral Medicine can be contacted via phone (904) 280-6701, or through Spooner, Justin Kuhns via phone (904) 280-6701.
Contact Information
Primary practice address
1351 13Th Ave S Ste 120
Jacksonville Beach FL 32250-3237
Phone: (904) 280-6701
Fax: (904) 280-6702
Website:
Authorized official contact:
Name: Spooner, Justin Kuhns Doctor of Medicine (MD)
Phone: (904) 280-6701
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ME115625 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1417309832 |
|---|---|
| LBN Legal business name | Beaches Behavioral Medicine |
| DBA Doing business as | <Unavail> |
| Authorized official | Spooner, Justin Kuhns Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2016 |
| Last updated | Jan 12th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417309832 | NPPES |
| Florida | MEDICAID | 00863244100 |
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