Florida Institute Of Pain Medicine LLC
Pain Medicine, Interventional Pain Medicine in Jacksonville, FL. Organization (NPI-2).
NPI number1013487362
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1013487362
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Institute Of Pain Medicine LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2018
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 208VP0000X | – | – | ||
| 225100000X | Physical Therapist | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Florida Pain Physicians (Doing Business As)
Practice location
2386 Dunn Ave Ste 111Jacksonville, FL 32218-4751
Phone 904-449-7246 · Fax 904-719-7571
Mailing address
4796 Hodges Blvd Ste 101Jacksonville, FL 32224-2349
Phone 904-449-7246 · Fax 904-719-7571
Authorized official
Jerry R Foltz
Owner
9044497246
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