Healthcare Provider Details

I. General information

NPI: 1033026059
Provider Name (Legal Business Name): COMPREHENSIVE ARTHRITIS SPINE AND PAIN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PLANTATION ISLAND DR S STE 402B
SAINT AUGUSTINE FL
32080-3118
US

IV. Provider business mailing address

1301 PLANTATION ISLAND DR S STE 402B
SAINT AUGUSTINE FL
32080-3118
US

V. Phone/Fax

Practice location:
  • Phone: 904-325-9420
  • Fax:
Mailing address:
  • Phone: 904-325-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: ADNAN FARUQI
Title or Position: MANAGER
Credential: MD
Phone: 312-952-4422