Provider Demographics
NPI:1144609900
Name:JNS PHYSICIANS GROUP LLC
Entity Type:Organization
Organization Name:JNS PHYSICIANS GROUP LLC
Other - Org Name:SPINAL INJURY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NASIM
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-644-7034
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32067-0627
Mailing Address - Country:US
Mailing Address - Phone:904-476-5778
Mailing Address - Fax:
Practice Address - Street 1:1724 VILLAGE WAY STE B
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5225
Practice Address - Country:US
Practice Address - Phone:904-644-7034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1811314008Medicaid
FL1811314008Medicaid
FL1811314008Medicare NSC
FL1811314008Medicare UPIN
FL1811314008Medicare PIN