CRG34AH01 LLC

JACKSONVILLE, FL
NPI1265284574
Doing Business AsMEDICUS SPINE & JOINT
Entity TypeOrganization
Authorized ContactLOGAN MORRIS
Manager
904-503-1065
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Additional Taxonomies111N00000X Chiropractor
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
2084P0301X Psychiatry & Neurology, Brain Injury Medicine
363L00000X Nurse Practitioner
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
CRG34AH01 LLC
4540 SOUTHSIDE BLVD STE 202
JACKSONVILLE, FL 32216-5488
Phone number: 904-503-1065
Mailing Address
CRG34AH01 LLC
4540 SOUTHSIDE BLVD STE 202
JACKSONVILLE, FL 32216-5488
Phone number: 904-503-1065