NPI | 1326659236 |
---|---|
Doing Business As | JAX SPINE & PAIN CENTERS |
Entity Type | Organization |
Authorized Contact | ALICIA M GROTH Credentialing Specialist 904-223-3321 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2020-08-13 |
Last Update Date | 2022-09-26 |