PAIN RELIEF AND REHAB PHYSICIANS GROUP INC (NPI# 1972161776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972161776 |
| Entity Type | Organization |
| Organization Name | PAIN RELIEF AND REHAB PHYSICIANS GROUP INC |
| Practice Address |
6444 Beach Blvd Ste 2002 Jacksonville FL 32216-2891 |
| Mailing Address |
6444 Beach Blvd Ste 200 Jacksonville FL 32216-2891 |
| Practice Telephone | 5714369232 |
| Mailing Telephone | 5714369232 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | JOSEPH M GHANEM (OWNER) |
| Authorized Official Telephone | 5714369232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| physicians rehabilitation | Doing Business As Name - Organization |
| Street Address |
6444 BEACH BLVD STE 2002 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1801313788 | Ace Medical LLC | Clinic/Center | 3450 Dunn Ave Ste 302, Jacksonville, FL 32218-6427 | 2017-08-23 |
| 1780033498 | Healthworks Med Group of Florida Pa | Clinic/Center | 5022 Gate Pkwy Ste 400, Jacksonville, FL 32256-0833 | 2016-06-03 |
| 1851344378 | Solantic/south Florida, LLC | Clinic/Center | 8711 Perimter Park Blvd., Suite 6, Jacksonville, FL 32216 | 2006-05-18 |
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1710592787 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2020-09-15 |
| 1083229017 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 7450 103rd St, Jacksonville, FL 32210-6780 | 2020-09-15 |
| 1801407291 | Patient Focus Physicians Associates Inc | Clinic/Center | 101 Century 21 Dr, Jacksonville, FL 32216-8115 | 2020-08-11 |
| 1093331456 | Jax Health LLC | Clinic/Center | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-06-22 |
| 1902439169 | Wilmington Health Pllc | Clinic/Center | 612 College St, Jacksonville, NC 28540-5311 | 2020-02-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on PAIN RELIEF AND REHAB PHYSICIANS GROUP INC.
| 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.