Medical Associates Of North Florida, INC.

Pain Medicine, Interventional Pain Medicine in Jacksonville Beach, FL. Organization (NPI-2).

NPI number1801021787

StatusActive

Last updated in NPPESMay 21, 2009

Details

NPI: 1801021787
Entity type: Organization (NPI-2)
Legal business name: Medical Associates Of North Florida, INC.
Organization subpart: No
Enumeration date: May 21, 2009
Last updated: May 21, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208VP0014X	Pain Medicine, Interventional Pain Medicine	ME 80275	FL	Yes
146N00000X	Emergency Medical Technician, Basic	EMT 300287	FL
163W00000X	Registered Nurse	RN 9182095	FL
246Z00000X	Specialist/Technologist, Other	AL 377	FL
367500000X	Nurse Anesthetist, Certified Registered	–	FL

Practice location

3948 3rd St S
Suite 1320
Jacksonville Beach, FL 32250-5847

Phone 904-328-2238 · Fax 904-212-1719

Mailing address

3948 3rd St S
Suite 1320
Jacksonville Beach, FL 32250-5847

Phone 904-328-2238 · Fax 904-212-1719

Authorized official

Douglas Michael Kleiner
Ceo
9043282238

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