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CRG34AH01 LLC

Interventional Pain Medicine Physician

NPI: 1265284574Organization

Specialties, Licenses & Credentials

Chiropractor

Code: 111N00000X

Orthopaedic Surgery — Orthopaedic Surgery of the Spine

Code: 207XS0117X

Orthopaedic Surgery — Orthopaedic Trauma

Code: 207XX0801X

Psychiatry & Neurology — Brain Injury Medicine

Code: 2084P0301X

Pain Medicine — Interventional Pain Medicine

Code: 208VP0014X

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address
4540 SOUTHSIDE BLVD STE 202
JACKSONVILLE, FL 32216

Quick Facts

NPI
1265284574
Entity Type
Organization
Medicare
Not confirmed
Specialties
6
Locations
1

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