Organization
JCJTAM, LLC.
Active
Other names
VETERANS SPINE AND DISCSEEL CENTER OF AMERICA, Emerald Coast Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALVAREZ CPCS (AUTHORIZED OFFICIAL)
(800) 931-6086
Entity
Organization
Contact information
Practice address
16703 EARLY RISER AVE STE 287, LAND O LAKES, FL 34638-0192
(844) 387-2476
(844) 387-2476
Mailing address
110 16TH ST STE 1400, DENVER, CO 80202-5275
(844) 387-2476
(844) 387-2476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119675800
—
FL
01
—
ME108549
LICENSE NUMBER
FL
01
—
RV192
GROUP MEDICARE NUMBER
FL
Enumeration date
03/31/2023
Last updated
07/30/2026
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