10D2157945 CLIA NUMBER - FLORIDA INSTITUTE OF PAIN

Laboratory Demographics

CLIA Number: 10D2157945

Facility Name: FLORIDA INSTITUTE OF PAIN

Facility Address:
2386 DUNN AVE SUITE 111
JACKSONVILLE, FL
ZIP 32218
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Facility Phone Number: 904 235-9383

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1013487362

Taxonomy: 207LP2900X - Anesthesiology
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D2157945
LAB Type	Physician Office
Facility Name	FLORIDA INSTITUTE OF PAIN
Street	2386 DUNN AVE SUITE 111
City	JACKSONVILLE
State	FL
ZIP	32218
Phone	904 235-9383
CertificateType	1
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024