# SPINE, BRAIN AND JOINT INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679110142
- **Authorized official:** DR. MICHAEL JAMES LUPI DO (PHYSICIAN)
- **Authorized official phone:** (912) 230-0113

## Contact information

- **Practice address:** 5101 GATE PKWY STE 2, JACKSONVILLE, FL 32256-7276
- **Practice address phone:** (904) 374-3672
- **Practice address fax:** (904) 813-7156
- **Mailing address:** 5101 GATE PKWY STE 2, JACKSONVILLE, FL 32256-7276
- **Mailing address phone:** (904) 374-3672
- **Mailing address fax:** (904) 813-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 07/12/2021