SUNSHINE SPINE AND PAIN, PA (NPI# 1124273529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124273529 |
| Entity Type | Organization |
| Organization Name | SUNSHINE SPINE AND PAIN, PA |
| Practice Address |
3 Shircliff Way Suite 610 Jacksonville FL 32204-4757 |
| Mailing Address |
Po Box 919327 Orlando FL 32891-9327 |
| Practice Telephone | 9042922700 |
| Mailing Telephone | 9042922700 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | TERESA FRIEDLEY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9042922700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME84002 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3 SHIRCLIFF WAY SUITE 610 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1720602535 | Kristen Marquardt | Nurse Practitioner | 3 Shircliff Way, Dillon Building Suite 625, Jacksonville, FL 32204 | 2020-06-08 |
| 1851713887 | Janet A Betchkal Md Pa | Ophthalmology | 3 Shircliff Way, Suite 134, Jacksonville, FL 32204-4757 | 2014-01-10 |
| 1669721155 | Amanda B Peacock | Nurse Practitioner | 3 Shircliff Way, Suite 714, Jacksonville, FL 32204-4757 | 2012-08-30 |
| 1093089716 | Jennifer Farhat Marzoug | Nurse Practitioner | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4757 | 2012-02-27 |
| 1962709311 | William Alexander Evans | Pharmacist | 3 Shircliff Way, Jacksonville, FL 32204-4757 | 2011-02-22 |
| 1881912061 | Taolin C Jen Md Pa | Clinic/Center | 3 Shircliff Way, Suite 614, Jacksonville, FL 32204-4776 | 2010-05-12 |
| 1013161223 | Mielke Group, Inc. | Clinical Neuropsychologist | 3 Shircliff Way, Suite #333, Jacksonville, FL 32204-4757 | 2008-11-14 |
| 1215189238 | George L Mayer Md | Obstetrics & Gynecology | 3 Shircliff Way, Suite 625, Jacksonville, FL 32204-4757 | 2008-10-22 |
| 1033366273 | Bruce A Hartwig Md Pa | Specialist | 3 Shircliff Way, Suite 752, Jacksonville, FL 32204-4730 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962565457 | Mark Charles Hofmann | Physical Medicine & Rehabilitation | 2968 Rainbow Rd, Jacksonville, FL 32217-2435 | 2006-12-18 |
| 1578669933 | Jawed Hussain | Physical Medicine & Rehabilitation | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2006-09-15 |
| 1396792818 | Allevia Medical, LLC | Physical Medicine & Rehabilitation | 14482 Cherry Lake Dr E, Jacksonville, FL 32258-5178 | 2006-05-29 |
| 1427011741 | Frank R Collier Jr. | Physical Medicine & Rehabilitation | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2006-04-08 |
| 1467445403 | Bao Tien Pham | Physical Medicine & Rehabilitation | 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 | 2005-08-24 |
| 1790045623 | Kyle R Bovee | Physical Medicine & Rehabilitation | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-05-25 |
| 1932428380 | Monika Yogesh Patel | Physical Medicine & Rehabilitation | 655 W 8th St, Jacksonville, FL 32209-6511 | 2010-05-25 |
| 1215118062 | Accmed Healthcare Systems Inc | Physical Medicine & Rehabilitation | 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 | 2007-11-21 |
| 1801000161 | Ferdinand Joseph Formoso | Physical Medicine & Rehabilitation | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2007-05-09 |
| 1790704153 | Marc Edward Tafflin | Physical Medicine & Rehabilitation | 1820 Barrs St, Suite 601, Jacksonville, FL 32204-4742 | 2006-07-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.