Beaches Laser Spine and Pain Medicine – Interventional Pain Medicine Physician, NPI 1417309832
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Beaches Laser Spine and Pain Medicine
Park Street, Maxville, Jacksonville, Duval County, Florida, United States
JACKSONVILLE, FL 322044518
Phone: (904) 257-4020
Fax: (904) 551-5591
Type: Mailing
1351 13TH AVE S STE 120
JACKSONVILLE BEACH, FL 322503237
Phone: (904) 280-6701
Fax: (904) 280-6702
Type: Location
PO BOX 1557
PONTE VEDRA BEACH, FL 320041557
Phone: (904) 280-6701
Fax: (904) 280-6702
Type: Mailing
2550 Park St
Ste B
Jacksonville, FL 32204
Phone: (904) 280-6701
Fax: (904) 280-6702
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32204)
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