Crg34ah01 Llc is a Nurse Practitioner based in Jacksonville, FL. Crg34ah01 Llc practices in Jacksonville, FL. The NPI Number for Crg34ah01 Llc is 1265284574 and holds a License No. (Florida).
The current practice location address for Crg34ah01 Llc is 4540 Southside Blvd Ste 202, Jacksonville, FL and can be reached out via phone at 904-503-1065 and via fax at 904-374-6075.
Location: 4540 Southside Blvd Ste 202, Jacksonville, FL, 32216-5488
Provider Profile Details
NPI Number
1265284574
Provider Name
Crg34ah01 Llc
Credential
Provider Entity Type
Organization
Address
4540 Southside Blvd Ste 202, Jacksonville, FL, 32216-5488
Phone Number
904-503-1065
Fax Number
904-374-6075
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
4540 Southside Blvd Ste 202
City
State
Zip
32216-5488
Phone Number
904-503-1065
Fax Number
904-374-6075
Provider Business Mailing Address Details
Address
4540 Southside Blvd Ste 202
City
State
Zip
32216-5488
Phone Number
904-503-1065
Fax Number
904-374-6075
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Trauma
Taxonomy
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic trauma surgeons deal with the evaluation and management of acute orthopedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Brain Injury Medicine
Taxonomy
License No.
()
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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