| North Florida Sports And Spine Center Inc. | |
|
2758 Us 1 S Saint Augustine FL 32086-6343 | |
| (904) 429-7765 | |
| (904) 621-9202 |
| Full Name | North Florida Sports And Spine Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2758 Us 1 S, Saint Augustine, Florida |
| Authorized Official Name and Position | Joshua Michael Henry (OWNER) |
| Authorized Official Contact | 9492123425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Sports And Spine Center Inc. 2758 Us 1 S Saint Augustine FL 32086-6343 Ph: (904) 429-7765 | North Florida Sports And Spine Center Inc. 2758 Us 1 S Saint Augustine FL 32086-6343 Ph: (904) 429-7765 |
| NPI Number | 1134632474 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 05/19/2023 |
| Medicare PECOS PAC ID | 9133480650 |
|---|---|
| Medicare Enrollment ID | O20180226001273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134632474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | ME114798 (Florida) | Primary |
| Provider Name | Joshua M Henry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1710301205 PECOS PAC ID: 3779704366 Enrollment ID: I20141023002445 |
Medical Professionals Of North Florida Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080 Phone: 904-460-9191 | |
Get Well, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Nature Walk Pkwy, Suite 101, Saint Augustine, FL 32092 Phone: 904-217-7030 | |
Marathon Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 State Road 206 W, Saint Augustine, FL 32086 Phone: 904-671-8337 | |
Bailey Spine & Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 Southpark Cir E, Saint Augustine, FL 32086 Phone: 904-342-4941 Fax: 904-342-4937 | |
Ashfaq Kudia, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S, Suite 302a, Saint Augustine, FL 32080 Phone: 904-461-9330 Fax: 904-461-9331 | |
Michael P. Tessler Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Southpark Cir E, Saint Augustine, FL 32086 Phone: 904-829-2141 Fax: 904-829-2141 |