Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacksonville Spine Center PA

Organization Interventional Pain Medicine Physician · NPI 1306556550

Jacksonville Spine Center PA provides Interventional Pain Medicine Physician services in Jacksonville, Florida. Medicare rates this dialysis facility 1 out of 5. Registered with an NPI since 2022.

CMS rating
1 of 5
In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 102662)

Practice location Address checks out

2550 Park St Ste B
Jacksonville, FL 32204-4518
Phone: (904) 223-3321
Fax: (904) 223-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1306556550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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