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JACKSONVILLE PAIN AND INJURY CENTER INC NPI 1497006423


NPI Information

NPI: 1497006423
Provider Name: JACKSONVILLE PAIN AND INJURY CENTER, INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2050739

Address:
4051 PHILLIPS HWY STE 2
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 647-9199
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JACKSONVILLE PAIN AND INJURY CENTER, INC 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. JACKSONVILLE PAIN AND INJURY CENTER, INC NPI is 1497006423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4051 PHILLIPS HWY STE 2
JACKSONVILLE, FL
ZIP 32207-895
Phone: (904) 647-9199

The provider's authorized official is Reynaldo Pardo .
The authorized official title is President/director and has the following contact phone number (904) 647-9199.

The CLIA number assigned to this NPI record is 10D2050739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 8/9/2013.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
1HB258AOTHERFLORIDAMEDICARE PTAN

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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