Organization · Type 2 NPI

Lighthouse Pain and Spine Specialists

Pain Medicine (Anesthesiology) Physician · St. Augustine, FL

NPI number 1104903160 Active

Practice location

300 Health Park Blvd, Suite 5008
St. Augustine, FL 32086-3707

Call (904) 823-8823 Map

Mailing address

PO Box 3012
St. Augustine, FL 32085-3012

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900XME97111 (FL)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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About NPI 1104903160

Lighthouse Pain and Spine Specialists's National Provider Identifier is 1104903160, issued on Nov 1, 2006. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 22, 2020.