Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
Other names
THE SPINE AND PAIN INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
AMRISH PATEL MD (CHIEF MEDICAL OFFICER; OWNER)
(850) 460-2350
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD STE 210, JACKSONVILLE, FL 32223-8631
(904) 717-9625
(904) 683-6499
Mailing address
PO BOX 600366, ST JOHNS, FL 32260-0366
(904) 717-9625
(904) 683-6499
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
04/10/2024
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