Organization
CRG34AH01 LLC
Active
Organization
CRG34AH01 LLC
Active
Other names
Medicus Spine & Joint
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN MORRIS (MANAGER)
(904) 503-1065
Entity
Organization
Contact information
Practice address
4540 SOUTHSIDE BLVD STE 202, JACKSONVILLE, FL 32216-5488
(904) 503-1065
(904) 374-6075
Mailing address
4540 SOUTHSIDE BLVD STE 202, JACKSONVILLE, FL 32216-5488
(904) 503-1065
(904) 374-6075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up