Organization
MEDICAL PARTNERS OF JACKSONVILLE LLC
Active
Other names
Spine and Joint Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANT SHAH MD (CEO)
(904) 830-4083
Entity
Organization
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(904) 830-4083
Mailing address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(904) 830-4083
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME95262
FL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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