Formoso Pain Specialists, Pa

LBN: Formoso Pain Specialists, Pa
Formoso Pain Specialists, Pa is an health care organization with primary practice located at 1361 13Th Ave S Ste 170 , Jacksonville Beach FL 32250-3235. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Formoso Pain Specialists, Pa can be contacted via phone (904) 650-2963, or through Formoso, Ferdinand Joseph via phone (904) 588-2393.

Contact Information

Primary practice address
1361 13Th Ave S Ste 170 Jacksonville Beach FL 32250-3235
Phone: (904) 650-2963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Formoso, Ferdinand Joseph
Phone: (904) 588-2393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1831850494
LBN Legal business name Formoso Pain Specialists, Pa
DBA Doing business as
Authorized official Formoso, Ferdinand Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2022
Last updated Feb 15th, 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.

Request for update

Popular Providers