Institute For Health Sports Spine Rehabilitation & Pain Management

LBN: Institute For Health Sports Spine Rehabilitation & Pain Management
Institute For Health Sports Spine Rehabilitation & Pain Management is an health care organization with primary practice located at 4100 Southpoint Dr E Ste 1 , Jacksonville FL 32216-8710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Institute For Health Sports Spine Rehabilitation & Pain Management can be contacted via phone (904) 647-5266, or through Riley, Shannon via phone (904) 647-5266.

Contact Information

Primary practice address
4100 Southpoint Dr E Ste 1 Jacksonville FL 32216-8710
Phone: (904) 647-5266
Fax: (904) 770-5594
Website:
Map and Directions
Authorized official contact:
Name: Riley, Shannon
Phone: (904) 647-5266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1245802727
LBN Legal business name Institute For Health Sports Spine Rehabilitation & Pain Management
DBA Doing business as
Authorized official Riley, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245802727 NPPES
Florida MEDICAID 014945000

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