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FLORIDA PAIN SPECIALISTS PLLC
NPI 1285182659
Physical Medicine & Rehabilitation - Sports Medicine in Jacksonville, FL

Active since September 14, 2016CLIA 10D2229516 · Waiver
4100 SOUTHPOINT DR E STE 1, JACKSONVILLE, FL 32216(046) 475-2669(904) 770-5594 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Dec 13, 2021, Jun 9, 2021 and 4 more (7 updates tracked since 2016).

About Florida Pain Specialists Pllc NPPES

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

FLORIDA PAIN SPECIALISTS PLLC (NPI 1285182659) is a healthcare organization registered as a sports medicine in Jacksonville, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through July 12, 2027, maintains a secondary practice location in Orange Park, and lists Bridget Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285182659
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameFLORIDA PAIN SPECIALISTS PLLC
Location Address4100 SOUTHPOINT DR E STE 1Jacksonville, FL 32216-8710
Mailing Address4100 Southpoint Dr E Ste 1Jacksonville, FL 32216-8710 · (046) 475-2669 · Fax (904) 770-5594
Phone(046) 475-2669
Fax(904) 770-5594
Organization SubpartNo
Authorized OfficialBridget RobertsAdministrator · (904) 509-8739
Enumeration DateSeptember 14, 2016
Last NPPES UpdateAugust 13, 20257 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1285182659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License PA9105187 (FL), ME117856 (FL)
4100 SOUTHPOINT DR E STE 1, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 11895 Kingsley Ave Ste 1005Orange Park, FL 32073-4410 · Phone (046) 475-2669 · Fax (904) 770-5594

Other Identifiers 2

Other1578898524FL · Npi
Other1487954723FL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2229516

Florida Pain Specialists, PLLC · Orange Park, FL
Active · expires Jul 12, 2027
CLIA Number10D2229516
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorTravis R. Von Tobel
Laboratory Phone(904) 647-5266
Laboratory LocationFlorida Pain Specialists, PLLC1895 Kingsley Ave Ste 1005B, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SUMMIT BHC JACKSONVILLE LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4100 SOUTHPOINT DR E STE 1
JACKSONVILLE, FL 32216
Duval County (866) 283-7122
INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGEMENT
Physical Medicine & Rehabilitation (Pain Medicine)
4100 SOUTHPOINT DR E STE 1
JACKSONVILLE, FL 32216
Duval County (904) 647-5266
TRAVIS RANDALL VON TOBEL M.D.
Pain Medicine (Interventional Pain Medicine)
4100 SOUTHPOINT DR E STE 1
JACKSONVILLE, FL 32216
Duval County (904) 647-5266

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 Florida Pain Specialists PLLC's NPI number?

The NPI number for Florida Pain Specialists PLLC is 1285182659. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Florida Pain Specialists PLLC located?

Florida Pain Specialists PLLC is located at 4100 Southpoint Dr E Ste 1, Jacksonville, FL 32216. The listed phone number is (046) 475-2669.

What is Florida Pain Specialists PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Does Florida Pain Specialists PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2229516) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Pain Specialists PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.