Organization
JACKSONVILLE SPINE CENTER PA
Active
Other names
Jax Spine & Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GROTH (CREDENTIALING SPECIALIST)
(904) 223-3321
Entity
Organization
Contact information
Practice address
15255 MAX LEGGETT PKWY STE 5500, JACKSONVILLE, FL 32218-7273
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
09/26/2022
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