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Contact Information

FORMOSO PAIN SPECIALISTS, PA
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL32224-2694
 Phone: 904-201-3111
 Fax: 904-201-3095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for FORMOSO PAIN SPECIALISTS PA · (Female)

NPI Number 1487270351
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2020
Last updated 04/20/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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