Organization
JACKSONVILLE PAIN CENTER PA
Active
Organization
JACKSONVILLE PAIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMANT SHAH M.D. (PRESIDENT/ OWNER)
(904) 268-8200
Entity
Organization
Contact information
Practice address
9421 WAYPOINT PL, JACKSONVILLE, FL 32257-9229
(904) 268-8200
(904) 268-8298
Mailing address
PO BOX 600290, JACKSONVILLE, FL 32260-0290
(904) 268-8200
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME95262
FL
Other
Enumeration date
10/01/2007
Last updated
12/21/2010
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