SUNSHINE SPINE AND PAIN PA


Address: 14540 Old Saint Augustine Rd, Mob 2 Suite 2397, Jacksonville, FL 32258-7418
Phone: 9042922700

SUNSHINE SPINE AND PAIN PA (NPI# 1215233184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215233184
Entity Type Organization
Organization Name SUNSHINE SPINE AND PAIN PA
Practice Address 14540 Old Saint Augustine Rd
Mob 2 Suite 2397
Jacksonville
FL 32258-7418
Mailing Address Po Box 919327
Orlando
FL 32891-9327
Practice Telephone 9042922700
Practice Fax Number 9042922666
Mailing Telephone 9042922700
Mailing Fax Number 9042922666
Enumeration Date 2011-02-09
Last Update Date 2011-07-25
Authorized Official Name MRS. TERESA FRIEDLEY (PRACTICE ADMINISTATOR)
Authorized Official Telephone 9042922700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME84002 FL Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255523957 Sunshine Spine and Pain Pa Pain Medicine 2021 Kingsley Ave, Suite 103, Orange Park, FL 32073-5174 2007-08-16

Office Location

Street Address 14540 OLD SAINT AUGUSTINE RD
MOB 2 SUITE 2397
City JACKSONVILLE
State FL
Zip Code 32258-7418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124023445 John Michael Tierney Physician Assistant 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 2005-06-14
1083153365 Baptist-southeast Gynecologic Oncology Associates Inc Obstetrics & Gynecology 14540 Old Saint Augustine Rd, Suite 2593, Jacksonville, FL 32258-7418 2017-02-20
1760851521 Lindsay Choate Physician Assistant 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 2015-09-22
1639505035 Baptist Neurology Inc Psychiatry & Neurology 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7418 2013-09-18
1275975047 Christi Burnett Paul Nurse Practitioner 14540 Old Saint Augustine Rd, Suite 2207, Jacksonville, FL 32258-7418 2013-07-22
1215378203 Alana Michelle Weatherly Physician Assistant 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 2013-07-08
1801150594 Matthew Theodore Swiatowicz Physician Assistant 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 2012-06-27
1679802904 Baptist Primary Care Inc Internal Medicine 14540 Old Saint Augustine Rd, Suite 2307, Jacksonville, FL 32258-2460 2009-12-16
1851530216 Alyssa A Paetau Surgery 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7418 2009-02-09
1205080652 Cameron David Adkisson Surgery 14540 Old Saint Augustine Rd, 2571, Jacksonville, FL 32258-7418 2008-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437768033 Coastal Injury Clinic LLC Specialist 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 2020-07-29
1255957643 Rhonda D Smith Roberts Specialist 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 2020-06-22
1437620986 Nicole Azaan Specialist 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 2018-12-10
1598251910 Allionz LLC Specialist 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 2018-07-09
1093236531 Leah F Friedman Specialist 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 2017-07-06
1609301993 Oakleaf Injury and Pain Center LLC Specialist 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 2017-04-25
1982070140 Riverside Spine & Pain Physicians, LLC Specialist 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 2015-08-11
1235525239 Elizabeth Wehr Specialist 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 2015-04-07
1053705236 Orthowilmington, Pa Specialist 3382 Henderson Dr, Jacksonville, NC 28546-5230 2015-03-25
1295156941 Southeast Orthopedic Specialists, Inc. Specialist 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 2013-12-26
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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