Male or Other

Dr. Jerry R. Foltz MD

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

Full Name

Dr. Jerry Richard Foltz MD

NPI Number

1144290677

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/26/2006

Specialties

(Taxonomies)

Code

208VP0014X
207LP2900X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

ME95194
ME 95194

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 734905
4796 HODGES BLVD

City

Dallas
Jacksonville

State

TX
FL

Postal Code

75373-4905
32224

Country

US
US

Telephone Number

(904) 449-7246
(904) 449-7246

Identifiers

Identifier

100386600

Identifier State

FL

Identifier Issuer

Unknown

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

Data last updated by provider on 09/25/2019

Provider Address

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