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Organization

NORTH FLORIDA SPORTS AND SPINE CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA MICHAEL HENRY MD (OWNER)
(949) 212-3425
Entity
Organization

Contact information

Practice address
2758 US 1 S, SAINT AUGUSTINE, FL 32086-6343
(904) 429-7765
(904) 621-9202
Mailing address
2758 US 1 S, SAINT AUGUSTINE, FL 32086-6343
(904) 429-7765
(904) 621-9202

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
261QP3300X
Pain Clinic/Center
Primary
ME114798
FL

Other

Enumeration date
11/08/2017
Last updated
05/19/2023
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