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CRG34AH01 LLC
NPI 1265284574
Pain Medicine - Interventional Pain Medicine in Jacksonville, FL

Active since April 02, 2024
4540 SOUTHSIDE BLVD STE 202, JACKSONVILLE, FL 32216(904) 503-1065(904) 374-6075 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crg34ah01 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRG34AH01 LLC (NPI 1265284574), doing business as Medicus Spine & Joint, is a healthcare organization registered as an interventional pain medicine in Jacksonville, Florida and active in the NPI registry since April 2024. The organization lists Logan Morris, Manager, as its authorized official.

NPPES Registry Identity

NPI1265284574
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCRG34AH01 LLC
Location Address4540 SOUTHSIDE BLVD STE 202Jacksonville, FL 32216-5488
Mailing Address4540 Southside Blvd Ste 202Jacksonville, FL 32216-5488 · (904) 503-1065 · Fax (904) 374-6075
Phone(904) 503-1065
Fax(904) 374-6075
Organization SubpartNo
Authorized OfficialLogan MorrisManager · (904) 503-1065
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1265284574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X
Also ListedPsychiatry & Neurology · Brain Injury MedicineTaxonomy 2084P0301X
Also ListedNurse PractitionerTaxonomy 363L00000X
4540 SOUTHSIDE BLVD STE 202, Jacksonville, FL 32216
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Other Names 1

Doing Business AsMedicus Spine & Joint

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYUDMILA G BROWN ACNP
Orthopaedic Surgery (Orthopaedic Trauma)
4540 SOUTHSIDE BLVD STE 202
JACKSONVILLE, FL 32216
Duval County (904) 503-1065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crg34ah01 LLC's NPI number?

The NPI number for Crg34ah01 LLC is 1265284574. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Medicus Spine & Joint.

Where is Crg34ah01 LLC located?

Crg34ah01 LLC is located at 4540 Southside Blvd Ste 202, Jacksonville, FL 32216. The listed phone number is (904) 503-1065.

What is Crg34ah01 LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Crg34ah01 LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.