NORTH FLORIDA SPORTS AND SPINE CENTER INC.
NPI 1134632474
Clinic/Center - Pain in Saint Augustine, FL
NPI Status: Active since November 08, 2017
Contact Information
2758 US 1 S
SAINT AUGUSTINE, FL
ZIP 32086
Phone: (904) 429-7765
Fax: (904) 621-9202
- Organization
- Clinic/Center
- Pain
- CLIA Number: 10D2301871
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-01-2026
About NORTH FLORIDA SPORTS AND SPINE CENTER INC.
This page provides the complete NPI Profile along with additional information for North Florida Sports And Spine Center Inc., a provider established in Saint Augustine, Florida operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1134632474 assigned on November 2017. The practitioner's primary taxonomy code is 261QP3300X with license number ME114798 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. North Florida Sports And Spine Center Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Joshua Michael Henry Md (Owner)
- NPI
- 1134632474
- Provider Name
- NORTH FLORIDA SPORTS AND SPINE CENTER INC.
- Entity Type
- Organization
- Location Address
- 2758 US 1 S SAINT AUGUSTINE, FL 32086
- Location Phone
- (904) 429-7765
- Location Fax
- (904) 621-9202
- Mailing Address
- 2758 US 1 S SAINT AUGUSTINE, FL 32086
- Mailing Phone
- (904) 429-7765
- Mailing Fax
- (904) 621-9202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2017
- Last Update Date
- 05-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- ME114798
- License State
- FL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2301871
- Facility Type
- Physician Office
- Certificate Effective Date
- April 02, 2024
- Certificate Expiration Date
- April 01, 2026
- Laboratory Director
- JOSHUA M. HENRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Florida Sports And Spine Center Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 6 | 3 | 2 | 4 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 12 | 3 | 4 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 2 + 3 + 4 + 4 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1134632474 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841511284 | MANOJ PRAKASH MD PA Organization | Internal Medicine (Pulmonary Disease) | 2758 US 1 S ST AUGUSTINE, FL 32086 (904) 797-2338 |
| 1710301205 | DR. JOSHUA MICHAEL HENRY MD Individual | Pain Medicine (Interventional Pain Medicine) | 2758 US 1 S ST AUGUSTINE, FL 32086 (904) 429-7765 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134632474, enumerated in the NPI registry as an "organization" on November 08, 2017
The provider is located at 2758 Us 1 S Saint Augustine, Fl 32086 and the phone number is (904) 429-7765
This medical organization specializes in Clinic/Center with taxonomy code 261QP3300X with a focus in Pain
The provider's CLIA number is 10D2301871 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 08, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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