Organization
RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
4312 PABLO PROFESSIONAL CT, JACKSONVILLE, FL 32224-3219
(904) 389-1010
(904) 389-1082
Mailing address
7207 GOLDEN WINGS RD, SUITE 100, JACKSONVILLE, FL 32244-3324
(904) 389-1010
(904) 389-1082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
12/05/2022
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