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Contact Information

FLORIDA INSTITUTE OF PAIN MEDICINE LLC
859 PARK AVE STE 102
ORANGE PARK, FL32073-4151
 Phone: 904-449-7246
 Fax: 904-719-7571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FLORIDA INSTITUTE OF PAIN MEDICINE LLC · (Female)

NPI # 1578193504
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2020
Last updated 05/27/2026 - About 2 weeks 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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