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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

NPI # 1487270351
LBN Legal business name FORMOSO PAIN SPECIALISTS, PA
Authorized official FERDINAND FORMOSO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2020
Last updated 04/20/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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