Organization
JACKSONVILLE BRAIN & SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PETR MD (OWNER)
(513) 284-6634
Entity
Organization
Contact information
Practice address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256-9666
(904) 330-0302
(904) 330-0418
Mailing address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256-9666
(904) 330-0302
(904) 330-0418
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127850000
—
FL
Enumeration date
11/02/2017
Last updated
01/08/2026
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