Organization
PAIN SPINE & WELLNESS LLC
Active
Other names
Dedicated Pain & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SOURIAL MORRIS SOURIAL DO (PRESIDENT)
(904) 944-2124
Entity
Organization
Contact information
Practice address
9770 OLD BAYMEADOWS RD STE 141, JACKSONVILLE, FL 32256-7986
(904) 944-2124
(888) 241-3383
Mailing address
10689 TOWN VIEW DR, JACKSONVILLE, FL 32256-4026
(904) 944-2124
(888) 241-3383
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/31/2019
Last updated
11/11/2024
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