Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
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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