Riverside Spine & Pain Physicians, LLC
NPI #1659747822 in Jacksonville, Florida
Provider Information
- NPI Number
- 1659747822
- Entity Type
- Organization
- Organization Name
- Riverside Spine & Pain Physicians, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 11, 2015
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 4312 PABLO PROFESSIONAL CT
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32224-3219
- Phone
- (904) 389-1010
Authorized Official
- Name
- JENNIFER BOYD BALDOCK
- Title
- OFFICER AND AUTHORIZED OFFICIAL
- Phone
- (615) 234-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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