| NPI | 1194248229 |
|---|---|
| Doing Business As | JAX SPINE & PAIN CENTERS |
| Entity Type | Organization |
| Authorized Contact | ALICIA GROTH Credentialing Specialist 904-223-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-09-26 |