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FLORIDA PAIN SPECIALISTS PLLC NPI 1285182659


NPI Information

NPI: 1285182659
Provider Name: FLORIDA PAIN SPECIALISTS PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4100 SOUTHPOINT DR E STE 1
JACKSONVILLE, FL
ZIP 32216
Phone: (046) 475-2669
Get Directions

FLORIDA PAIN SPECIALISTS PLLC is an interventional pain medicine pain medicine in Jacksonville, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. FLORIDA PAIN SPECIALISTS PLLC NPI is 1285182659. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4100 SOUTHPOINT DR E STE 1
JACKSONVILLE, FL
ZIP 32216-710
Phone: (046) 475-2669
Fax: (904) 770-5594

The provider's authorized official is Shannon Riley .
The authorized official title is Vp Of Operations and has the following contact phone number (904) 647-5266.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 12/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
22081S0010XPhysical Medicine & RehabilitationSports MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes
4261QP3300XClinic/CenterPainNo
5314000000XSkilled Nursing FacilityME117856FLORIDANo
6314000000XSkilled Nursing FacilityPA9105187FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11487954723OTHERFLORIDANPI
21578898524OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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