| Beaches Behavioral Medicine | |
|
1351 13th Ave S Ste 120 Jacksonville Beach FL 32250-3237 | |
| (904) 280-6701 | |
| (904) 280-6702 |
| Full Name | Beaches Behavioral Medicine |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1351 13th Ave S Ste 120, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Justin Kuhns Spooner (PRESIDENT) |
| Authorized Official Contact | 9042806701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaches Behavioral Medicine Po Box 1557 Ponte Vedra Beach FL 32004-1557 Ph: (904) 280-6701 | Beaches Behavioral Medicine 1351 13th Ave S Ste 120 Jacksonville Beach FL 32250-3237 Ph: (904) 280-6701 |
| NPI Number | 1417309832 |
|---|---|
| Provider Enumeration Date | 07/09/2016 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417309832 | NPI | - | NPPES |
| 00863244100 | Medicaid | FL |
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