Organization
UNITED PAIN AND SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAITAO ZHANG MD (PRESIDENT)
(904) 718-6929
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY UNIT 803, JACKSONVILLE, FL 32256-6754
(904) 718-6929
(904) 201-4057
Mailing address
10175 FORTUNE PKWY UNIT 803, JACKSONVILLE, FL 32256-6754
(904) 718-6929
(904) 201-4057
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
04/27/2020
Last updated
02/22/2022
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