Beaches Behavioral Medicine
Pain Medicine, Interventional Pain Medicine in Jacksonville Beach, FL. Organization (NPI-2).
NPI number1417309832
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1417309832
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaches Behavioral Medicine
- Organization subpart
- No
- Enumeration date
- Jul 9, 2016
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | ME115625 | FL | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 208VP0000X | – | – |
Other names
- Beaches Laser Spine And Pain Medicine (Doing Business As)
- Beaches Specialty Group (Doing Business As)
Practice location
1351 13th Ave S Ste 120Jacksonville Beach, FL 32250-3237
Phone 904-280-6701 · Fax 904-280-6702
Mailing address
Po Box 1557Ponte Vedra Beach, FL 32004-1557
Phone 904-280-6701 · Fax 904-280-6702
Other practice locations
Authorized official
Justin Kuhns Spooner
President
9042806701
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pain Medicine, Interventional Pain Medicine providers in Jacksonville Beach, FL
- Veronica M. Antoine, MDNPI 1710932447
- Hector C Pagan MD PANPI 1639264617
- John Woeste Jr MD & Assoc PANPI 1639280233
- Ketamine Wellness Institute Of Jacksonville Beach, LLCNPI 1487471918
- Medical Associates Of North Florida, INC.NPI 1801021787
- Nagula & Associates, PLLCNPI 1598015133
- Physicians Group Services PANPI 1336511690
- Vori Medical PLLCNPI 1235880477
- Dr. Michael Warhurst, D.O.NPI 1356791743
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.