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

Jacksonville Spine Center PA

Organization Pain Medicine Physician · NPI 1891309340

Jacksonville Spine Center PA provides Pain Medicine Physician services in Palatka, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 Zeagler Dr Ste 401
Palatka, FL 32177-3887
Phone: (904) 223-3321
Fax: (904) 223-2169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1891309340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Jax Spine & Pain Centers
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224-5004