Innovative Physiatry Spine Clinic, LLC

NPI #1487175881 in St Johns, Florida

Provider Information

NPI Number
1487175881
Entity Type
Organization
Organization Name
Innovative Physiatry Spine Clinic, LLC
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Jul 6, 2017
Last Updated
Sep 2, 2021

Practice Location

Address
165 DURBIN STATION CT STE 601
State
Florida
ZIP Code
32259-9370
Phone
(904) 671-0288

Authorized Official

Name
SECK LIM
Title
PRACTICE ADMINISTRATOR
Phone
(904) 671-0288

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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