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Organization

INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE

Active
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Organization

INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE

Active
Other names
The Institute for Florida Pain Specialists, Florida Pain Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
BRIDGET L. ROBERTS (ADMINISTRATOR)
(904) 509-8739
Entity
Organization

Contact information

Practice address
1895 KINGSLEY AVE STE 1005B, ORANGE PARK, FL 32073-4466
(904) 647-5266
(904) 770-5594
Mailing address
4100 SOUTHPOINT DR E STE 1, JACKSONVILLE, FL 32216-8710
(904) 647-5266
(904) 770-5594

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME117856
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014945000
FL
01
1154714129
NPI
FL
01
1487954723
NPI
FL
Enumeration date
09/01/2016
Last updated
08/13/2025
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