Organization

Formoso Pain Specialists, Pa

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, FL(View on Map)

Legal Business Name

Formoso Pain Specialists, Pa

NPI Number

1487270351

NPI Type

Organization

Enumeration Date

06/17/2020

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

11555 CENTRAL PKWY STE 304
11555 CENTRAL PKWY STE 304

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-2694
32224-2694

Country

US
US

Telephone Number

(904) 650-2963
(904) 201-3111

Authorized Official

Name

Dr. Ferdinand Formoso

Title or Position

OWNER

Telephone Number

(904) 588-2393

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

Data last updated by provider on 04/20/2022

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