Jax Spine & Pain Centers
LBN: Jacksonville Spine Center Pa
Jax Spine & Pain Centers is an health care organization with primary practice located at 5191 First Coast Tech Pkwy , Jacksonville FL 32224. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Jacksonville Spine Center Pa can be contacted via phone (904) 223-3321, or through Groth, Alicia M via phone (904) 223-3321.
Contact Information
Primary practice address
5191 First Coast Tech Pkwy
Jacksonville FL 32224
Phone: (904) 223-3321
Fax: (904) 223-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1881643757 |
|---|---|
| LBN Legal business name | Jacksonville Spine Center Pa |
| DBA Doing business as | Jax Spine & Pain Centers |
| Authorized official | Groth, Alicia M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | May 9th, 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 | 1881643757 | NPPES |
| Florida | Other | 1285604793 | NPI # CLAUDIO VINCENTY |
| Florida | Other | 1912978149 | NPI # CLAUDIO VINCENTY |
| Florida | Other | 1821069055 | NPI # CLAUDIO VINCENTY |
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