BRIGANTTI ANESTHESIA & SPINE CARE


Address: 1361 13th Ave South Suite #210, Jacksonville, FL 32224
Phone: 4079945909

BRIGANTTI ANESTHESIA & SPINE CARE (NPI# 1639681471) 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) 1639681471
Entity Type Organization
Organization Name BRIGANTTI ANESTHESIA & SPINE CARE
Practice Address 1361 13th Ave South Suite #210
Jacksonville
FL 32224
Mailing Address 1361 13th Ave S Ste 210
Jacksonville
FL 32250-3236
Practice Telephone 4079945909
Mailing Telephone 4079945909
Enumeration Date 2017-11-02
Last Update Date 2017-11-02
Authorized Official Name DR. RUBEN XAVIER PAGAN (CEO)
Authorized Official Telephone 4079945909
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
FL Ambulatory Health Care Facilities

Office Location

Street Address 1361 13TH AVE SOUTH SUITE #210
City JACKSONVILLE
State FL
Zip Code 32224

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32224

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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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