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REGENERATIVE MEDICINE OF NORTH FLORIDA LLC
NPI 1093331456
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL

Active since June 22, 2020
4540 SOUTHSIDE BLVD STE 401, JACKSONVILLE, FL 32216(321) 323-3618 Get Directions Write a Review

NPPES record last updated: December 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Regenerative Medicine Of North Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERATIVE MEDICINE OF NORTH FLORIDA LLC (NPI 1093331456) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since June 2020. The organization lists Rafael Foss, Owner, as its authorized official.

NPPES Registry Identity

NPI1093331456
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameREGENERATIVE MEDICINE OF NORTH FLORIDA LLC
Location Address4540 SOUTHSIDE BLVD STE 401Jacksonville, FL 32216-5488
Mailing AddressPo Box 24556Jacksonville, FL 32241-4556 · (786) 370-1111
Phone(321) 323-3618
Organization SubpartNo
Authorized OfficialRafael FossOwner · (786) 370-1111
Enumeration DateJune 22, 2020
Last NPPES UpdateDecember 10, 20232 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1093331456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
4540 SOUTHSIDE BLVD STE 401, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNA STRAYER
Nurse Practitioner (Family)
4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL 32216
Duval County (904) 977-6380
CAMEO CALLAHAN DNP, APRN, FNP-BC
Nurse Practitioner (Family)
4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL 32216
Duval County (904) 977-6380
MRS. ODESSA DOUCET MSN, APRN, FNP-C
Nurse Practitioner (Family)
4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL 32216
Duval County (904) 567-5338
ISLIMLIPO
Clinic/Center
4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL 32216
Duval County (772) 281-7682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerative Medicine Of North Florida LLC's NPI number?

The NPI number for Regenerative Medicine Of North Florida LLC is 1093331456. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is Regenerative Medicine Of North Florida LLC located?

Regenerative Medicine Of North Florida LLC is located at 4540 Southside Blvd Ste 401, Jacksonville, FL 32216. The listed phone number is (321) 323-3618.

What is Regenerative Medicine Of North Florida LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Regenerative Medicine Of North Florida LLC was last updated on December 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.