Organization

Jacksonville Pain And Injury Center, Inc

Interventional Pain Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Jacksonville Pain And Injury Center, Inc

NPI Number

1497006423

NPI Type

Organization

Enumeration Date

10/01/2012

Specialties

(Taxonomies)

Code

208VP0014X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4051 PHILLIPS HWY STE 2
4051 PHILLIPS HWY STE 2

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32207-6895
32207-6895

Country

US
US

Telephone Number

(904) 647-9199
(904) 647-9199

Authorized Official

Name

Reynaldo Pardo

Title or Position

PRESIDENT/DIRECTOR

Telephone Number

(904) 647-9199

Identifiers

Identifier

HB258A

Identifier State

FL

Identifier Issuer

MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/09/2013

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