Formoso Pain Specialists, Pa

LBN: Formoso Pain Specialists, Pa
Formoso Pain Specialists, Pa is an health care organization with primary practice located at 11555 Central Pkwy Ste 304 , Jacksonville FL 32224-2694. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Formoso Pain Specialists, Pa can be contacted via phone (904) 201-3111, or through Formoso, Ferdinand via phone (904) 588-2393.

Contact Information

Primary practice address
11555 Central Pkwy Ste 304 Jacksonville FL 32224-2694
Phone: (904) 201-3111
Fax: (904) 201-3095
Website:
Map and Directions
Authorized official contact:
Name: Formoso, Ferdinand Doctor of Osteopathy (DO)
Phone: (904) 588-2393

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1487270351
LBN Legal business name Formoso Pain Specialists, Pa
DBA Doing business as
Authorized official Formoso, Ferdinand Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2020
Last updated Apr 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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