Organization

Fccn Pain Management Llc

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

Legal Business Name

Fccn Pain Management Llc

NPI Number

1851526511

NPI Type

Organization

Enumeration Date

05/26/2009

Specialties

(Taxonomies)

Code

208VP0014X
208VP0000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 864483
1564 KINGSLEY AVE

City

Orlando
Orange Park

State

FL
FL

Postal Code

32886-4483
32073-4511

Country

US
US

Telephone Number

N/A
(904) 264-0400

Authorized Official

Name

Carl Noback

Title or Position

MEMBER

Telephone Number

(941) 360-1566

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

Data last updated by provider on 05/26/2009

Provider Address

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