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Contact Information

FERDINAND J FORMOSO, DO
11555 CENTRAL PKWY
SUITE 304
JACKSONVILLE, FL32224-2691
 Phone: 904-265-7755
 Fax: 904-265-7754
 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 FERDINAND J FORMOSO · (Male)

NPI Number 1801000161
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/09/2007
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS10067
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
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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