NPI 1114114303

Jacksonville Pain Center PA

Organisation Interventional Pain Medicine Physician Jacksonville, FL

Practice location

Address: 9421 Waypoint Pl, Jacksonville, FL 32257-9229
Phone: (904) 268-8200
Fax: (904) 268-8298
Mailing address: PO Box 600290, Jacksonville, FL 32260-0290

Authorised official

Name: Hemant Shah
Title: President/ Owner
Phone: (904) 268-8200

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence ME95262 (FL)

Other Pain Medicine providers in Florida →

Registry record

NPI: 1114114303
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.