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
205 ZEAGLER DR STE 401, PALATKA, FL 32177-3887
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224-5004
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
08/12/2024
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