Pain Spine & Wellness Llc

LBN: Pain Spine & Wellness Llc
Pain Spine & Wellness Llc is an health care organization with primary practice located at 9770 Old Baymeadows Rd Ste 141 , Jacksonville FL 32256-7986. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Pain Spine & Wellness Llc can be contacted via phone (904) 944-2124, or through Sourial, Sourial Morris via phone (904) 944-2124.

Contact Information

Primary practice address
9770 Old Baymeadows Rd Ste 141 Jacksonville FL 32256-7986
Phone: (904) 944-2124
Fax: (888) 241-3383
Website:
Map and Directions
Authorized official contact:
Name: Sourial, Sourial Morris Doctor of Osteopathy (DO)
Phone: (904) 944-2124

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1942868377
LBN Legal business name Pain Spine & Wellness Llc
DBA Doing business as
Authorized official Sourial, Sourial Morris Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2019
Last updated May 25th, 2021 - about 4 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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