BEACHES LASER SPINE AND PAIN MEDICINE
NPI 1417309832
Pain Medicine - Interventional Pain Medicine in Jacksonville Beach, FL

Q: What is Beaches Behavioral Medicine's NPI number?

The NPI number for Beaches Behavioral Medicine is 1417309832. It was assigned to this organization in the NPPES registry on July 9, 2016. The provider is doing business as Beaches Laser Spine And Pain Medicine and Beaches Specialty Group.

Q: What is Beaches Behavioral Medicine's specialty?

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

Active since July 09, 2016

1351 13TH AVE S STE 120, JACKSONVILLE BEACH, FL 32250(904) 280-6701(904) 280-6702 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Jul 13, 2021, Feb 22, 2021 and 2 more (5 updates tracked since 2016).

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About Beaches Laser Spine And Pain Medicine NPPES

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

BEACHES LASER SPINE AND PAIN MEDICINE (NPI 1417309832) is a healthcare organization registered as an interventional pain medicine in Jacksonville Beach, Florida and active in the NPI registry since July 2016. The organization maintains a secondary practice location in Jacksonville and lists Justin Kuhns Spooner, President, as its authorized official.

NPPES Registry Identity

NPI1417309832

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameBEACHES BEHAVIORAL MEDICINE

Location Address1351 13TH AVE S STE 120Jacksonville Beach, FL 32250-3237

Mailing AddressPo Box 1557Ponte Vedra Beach, FL 32004-1557 · (904) 280-6701 · Fax (904) 280-6702

Phone(904) 280-6701

Fax(904) 280-6702

Organization SubpartNo

Authorized OfficialJustin Kuhns SpoonerPresident · (904) 280-6701

Enumeration DateJuly 9, 2016

Last NPPES UpdateJanuary 12, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2023

✔ NPI 1417309832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License ME115625 (FL)

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

1351 13TH AVE S STE 120, Jacksonville Beach, FL 32250

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Other Names 2

Doing Business AsBeaches Laser Spine And Pain Medicine

Doing Business AsBeaches Specialty Group

Secondary Practice Location 1

Location 12550 Park St, Ste BJacksonville, FL 32204 · Phone (904) 280-6701 · Fax (904) 280-6702

Other Identifiers 1

Medicaid00863244100FL

Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

GLYNNIS MARIE WINFREE APRN

Nurse Practitioner

1351 13TH AVE S STE 120
JACKSONVILLE BEACH, FL 32250

Duval County (904) 223-3321

JACKSONVILLE SPINE CENTER PA

Pain Medicine (Interventional Pain Medicine)

1351 13TH AVE S STE 120
JACKSONVILLE, FL 32250

Duval County (904) 223-3321

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 Beaches Behavioral Medicine's NPI number?

The NPI number for Beaches Behavioral Medicine is 1417309832. It was assigned to this organization in the NPPES registry on July 9, 2016. The provider is doing business as Beaches Laser Spine And Pain Medicine and Beaches Specialty Group.

Where is Beaches Behavioral Medicine located?

Beaches Behavioral Medicine is located at 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250. The listed phone number is (904) 280-6701.

What is Beaches Behavioral Medicine'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 Beaches Behavioral Medicine was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.