RIVERSIDE SPINE & PAIN PHYSICIANS, LLC


Address: 12078 San Jose Blvd, Suite 2, Jacksonville, FL 32223-8670
Phone: 9043891010

RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI# 1619343886) 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) 1619343886
Entity Type Organization
Organization Name RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Practice Address 12078 San Jose Blvd
Suite 2
Jacksonville
FL 32223-8670
Mailing Address 7207 Golden Wings Rd
Suite 100
Jacksonville
FL 32244-3324
Practice Telephone 9043891010
Practice Fax Number 9043891082
Mailing Telephone 9043891010
Mailing Fax Number 9043891082
Enumeration Date 2015-08-11
Last Update Date 2017-01-20
Authorized Official Name STEPHEN SCOTT KRAMARICH (MEDICAL DIRECTOR)
Authorized Official Telephone 9043891010
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982070140 Riverside Spine & Pain Physicians, LLC Specialist 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 2015-08-11
1477922920 Riverside Spine & Pain Physicians, LLC Specialist 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 2015-09-15
1124494398 Riverside Spine & Pain Physicians, LLC Specialist 7751 Baymeadows Rd E, Suite 103, Jacksonville, FL 32256-5836 2015-08-11
1669848834 Riverside Spine & Pain Physicians, LLC Specialist 2386 Dunn Ave, Suite 111, Jacksonville, FL 32218-4750 2015-08-11
1659747822 Riverside Spine & Pain Physicians, LLC Specialist 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 2015-08-11
1649646811 Riverside Spine & Pain Physicians, LLC Specialist 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-6355 2015-08-11
1710353982 Riverside Spine & Pain Physicians, LLC Specialist 105 Mariner Health Way, Unit 203, St Augustine, FL 32086-3251 2015-08-11
1982070157 Riverside Spine & Pain Physicians, LLC Specialist 3622 Madaca Ln, Tampa, FL 33618-2057 2015-08-11
1639208648 Riverside Spine & Pain Physicians, LLC Specialist 7207 Golden Wings Road, Suite 100, Jacksonville, FL 32244-2004 2007-03-05

Office Location

Street Address 12078 SAN JOSE BLVD
SUITE 2
City JACKSONVILLE
State FL
Zip Code 32223-8670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881736064 Marion C Eldridge Jr. Dentist 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-1842 2007-02-13
1285841908 Christopher Marc Geric Dentist 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-8670 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679103600 Karen Gabriela Alexander Dietitian, Registered Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 2020-01-17
1891250049 Thalia L Honea Occupational Therapist 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 2019-02-01
1447758289 Stephanie Ann Murphy Marriage & Family Therapist 11543 Halethorpe Drive, Jacksonville, FL 32223 2018-01-26
1861948481 Nicole Gay Developmental Therapist 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 2016-09-01
1740694439 Robyn K Mizelle Behavioral Analyst 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 2014-06-20
1184038010 Kelli Anne Cabrera Occupational Therapist 12350 San Jose Blvd, Jacksonville, FL 32223 2014-06-18
1891031910 Mandarin Family Medicine, P.a. Preferred Provider Organization 12276-210 San Jose Blvd, Jacksonville, FL 32223 2012-12-18
1114201811 Darshana Choksi Pharmacist 3663 Marbon Rd, Jacksonville, FL 32223 2011-09-30
1346539988 Harris Wilcox and Donovan Pa Optometrist 11790 San Jose Bl, Jacksonville, FL 32223 2011-04-05
1740517796 Beth A. Kelley Occupational Therapist 2640 Scott Mill Dr, Jacksonville, FL 32223 2009-11-12
Find all providers in zip 32223

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
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32223

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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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