Pain Spine & Wellness LLC
NPI 1942868377ActiveOrganization· Family Medicine, Adult Medicine· Jacksonville, FL
Family Medicine, Adult Medicine in Jacksonville, Florida, registered in NPPES in May 2019. The authorized official on file is Sourial Morris Sourial, DO, President.
Overview
| NPI | 1942868377 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2019 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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