OrganizationActive
Gbt Lba
NPI 1710384979 · Pain Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1710384979
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Coker, President(904) 518-9654
- License
- 208VP0014X (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3101 University Blvd S
Suite 203
Jacksonville, FL 32216-2790
Phone: (904) 518-9654
Fax: (904) 724-5770
Street-level locationGet directions
Mailing address
2895 Egret Ct
North Port, FL 34287-2369
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.