NPI | 1417309832 |
---|---|
Doing Business As | BEACHES LASER SPINE AND PAIN MEDICINE |
Doing Business As | BEACHES SPECIALTY GROUP |
Entity Type | Organization |
Authorized Contact | JUSTIN KUHNS SPOONER President 904-280-6701 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME115625) | |
2083A0300X Preventive Medicine, Addiction Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2016-07-09 |
Last Update Date | 2023-01-12 |