Riverside Spine & Pain Physicians, Llc in Jacksonville - Specialist
Riverside Spine & Pain Physicians, Llc - NPI 1639208648
Riverside Spine & Pain Physicians, Llc is a Specialist in Jacksonville, Florida. Riverside Spine & Pain Physicians, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Riverside Spine & Pain Physicians, Llc is 1639208648. The last update date is 2022-07-14.
Riverside Spine & Pain Physicians, Llc's current location address is 7207 Golden Wings Rd Ste 100, Jacksonville, Florida. You can contact this provider via phone number 9043891010 and fax number 9043891082. The mailing address for Riverside Spine & Pain Physicians, Llc is 7207 Golden Wings Rd Ste 100, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Spine & Pain Physicians, Llc |
|---|---|
| Address | 7207 Golden Wings Rd Ste 100, Jacksonville, Florida |
| Phone Number | 9043891010 |
| Fax Number | 9043891082 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER AN |
|---|---|
| Authorized Official Name | Baldock B Jennifer |
| Telephone Number | 6152345900 |
NPI Number Detail
| NPI Number | 1639208648 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2022-07-14 |
Provider Mailing Address Detail
| Address | 7207 Golden Wings Rd Ste 100 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322443324 |
| Phone Number | 9043891010 |
| Fax Number | 9043891082 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME83572 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2947648 | FL | AETNA | |
| 34167 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Riverside Spine & Pain Physicians, Llc by the Centers for Medicare & Medicaid Services?
The Riverside Spine & Pain Physicians, Llc has been issued the NPI (National Provider Identifier) 1639208648, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Riverside Spine & Pain Physicians, Llc?
The Riverside Spine & Pain Physicians, Llc is physically situated at 7207 Golden Wings Rd Ste 100, in the city of Jacksonville, state of FL, with the postal code 322443324.
What is Riverside Spine & Pain Physicians, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Riverside Spine & Pain Physicians, Llc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Riverside Spine & Pain Physicians, Llc's 1639208648 issued?
The Riverside Spine & Pain Physicians, Llc's 1639208648 was issued on 2007-03-05.
As of what date were the Riverside Spine & Pain Physicians, Llc's details last updated?
The information pertaining to the Riverside Spine & Pain Physicians, Llc, including its address, specialty, and other details, was most recently updated on 2022-07-14.
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