Organization Name: | RIVERSIDE SPINE & PAIN PHYSICIANS, LLC |
NPI Number: | 1124494398 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN SCOTT KRAMARICH (MEDICAL DIRECTOR) |
Mailing Address: | 7751 Baymeadows Rd E Suite 103 Jacksonville |
State: | FL US |
Postal Code: | 322565836 |
Phone Number: | 9043891010 |
Fax Number: | 9043891082 |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |