Organization
LIGHTHOUSE PAIN AND SPINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOYLE MD (OWNER)
(904) 824-4990
Entity
Organization
Contact information
Practice address
300 HEALTH PARK BLVD, SUITE 5008, ST AUGUSTINE, FL 32086-3707
(904) 823-8823
Mailing address
PO BOX 3012, ST AUGUSTINE, FL 32085-3012
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME97111
FL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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