Organization
PREMIER SPINE & PAIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF G ANDRAWIS MD (PRESIDENT)
(904) 264-0770
Entity
Organization
Contact information
Practice address
1543 KINGSLEY AVE STE 3, ORANGE PARK, FL 32073-4583
(904) 264-0770
(904) 264-0670
Mailing address
1543 KINGSLEY AVE STE 3, ORANGE PARK, FL 32073-4583
(904) 264-0770
(904) 264-0670
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
04/12/2013
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