| NPI | 1881643757 |
|---|---|
| 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 | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-05-09 |