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PAIN MEDICINE PHYSICIANS OF JACKSONVILLE LLC NPI 1942603899


NPI Information

NPI: 1942603899
Provider Name: PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D2085019

Address:
10250 NORMANDY BOULEVARD
SUITE 702
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 495-7200
Get Directions

PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC is a pain medicine anesthesiology in Jacksonville, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC NPI is 1942603899. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10250 NORMANDY BOULEVARD
SUITE 702
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 495-7200
Fax: (904) 495-7199

The provider's authorized official is Parveen Khanna .
The authorized official title is Medical Director and has the following contact phone number (904) 495-7200.

The CLIA number assigned to this NPI record is 10D2085019 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 1/27/2017.


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
1207L00000XAnesthesiologyME87424FLORIDANo
2207LP2900XAnesthesiologyPain MedicineME87424FLORIDAYes

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
1007Z4OTHERFLORIDABLUECROSSBLUESHIELD
2DV2304OTHERFLORIDAMEDICARE RR
3HY239AMEDICARE PINFLORIDA

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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