# JCJTAM, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VETERANS SPINE AND DISCSEEL CENTER OF AMERICA, Emerald Coast Integrated Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255036299
- **Authorized official:** WILLIAM ALVAREZ CPCS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (800) 931-6086

## Contact information

- **Practice address:** 16703 EARLY RISER AVE STE 287, LAND O LAKES, FL 34638-0192
- **Practice address phone:** (844) 387-2476
- **Practice address fax:** (844) 387-2476
- **Mailing address:** 110 16TH ST STE 1400, DENVER, CO 80202-5275
- **Mailing address phone:** (844) 387-2476
- **Mailing address fax:** (844) 387-2476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 111N00000X | Chiropractor | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 07/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119675800 | — | FL |
| 01 | — | ME108549 | LICENSE NUMBER | FL |
| 01 | — | RV192 | GROUP MEDICARE NUMBER | FL |