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FORMOSO PAIN SPECIALISTS, PA
NPI 1487270351
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL

Active since June 17, 2020CLIA Certified · 2 labs
11555 CENTRAL PKWY STE 304, JACKSONVILLE, FL 32224(904) 201-3111(904) 201-3095 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Jan 6, 2022, Jun 17, 2020 (3 updates tracked since 2020).

About Formoso Pain Specialists, Pa NPPES

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

FORMOSO PAIN SPECIALISTS, PA (NPI 1487270351) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since June 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jacksonville Beach, and lists Ferdinand Formoso, Owner, as its authorized official.

NPPES Registry Identity

NPI1487270351
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameFORMOSO PAIN SPECIALISTS, PA
Location Address11555 CENTRAL PKWY STE 304Jacksonville, FL 32224-2694
Mailing Address11555 Central Pkwy Ste 304Jacksonville, FL 32224-2694 · (904) 650-2963
Phone(904) 201-3111
Fax(904) 201-3095
Organization SubpartNo
Authorized OfficialFerdinand FormosoOwner · (904) 588-2393
Enumeration DateJune 17, 2020
Last NPPES UpdateApril 20, 20223 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1487270351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
11555 CENTRAL PKWY STE 304, Jacksonville, FL 32224
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Secondary Practice Location 1

Location 11361 13th Ave S Ste 250Jacksonville Beach, FL 32250-3238 · Phone (904) 201-3111 · Fax (904) 201-3095

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2257650

Formoso Pain Specialists, PA · Jacksonville, FL
Active · expires Apr 7, 2028
CLIA Number10D2257650
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorFerdinand J. Formoso
Laboratory Phone(904) 650-2963
Laboratory LocationFormoso Pain Specialists, PA11555 Central Pkwy - Ste 304, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2252773

Formoso Pain Specialists PA · Jacksonville Beach, FL
Active · expires Feb 14, 2028
CLIA Number10D2252773
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorFerdinand J. Formoso
Laboratory Phone(904) 650-2963
Laboratory LocationFormoso Pain Specialists PA1361 13th Avenue South Ste 170, Jacksonville Beach, FL 32250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

PHYSICIANS GROUP SERVICES PA
Pain Medicine (Pain Medicine)
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224
Duval County (904) 282-6331
FORMOSO PAIN SPECIALISTS, PA
Clinic/Center (Pain)
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224
Duval County (904) 650-2963
ERIN REGALADO
Nurse Practitioner (Family)
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224
Duval County (904) 201-3111
MR. LAWRENCE E WHITING JR. LCSW
Social Worker (Clinical)
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224
Duval County (904) 326-3226

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 Formoso Pain Specialists, PA's NPI number?

The NPI number for Formoso Pain Specialists, PA is 1487270351. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Formoso Pain Specialists, PA located?

Formoso Pain Specialists, PA is located at 11555 Central Pkwy Ste 304, Jacksonville, FL 32224. The listed phone number is (904) 201-3111.

What is Formoso Pain Specialists, PA's specialty?

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

Does Formoso Pain Specialists, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Formoso Pain Specialists, PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Formoso Pain Specialists, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Formoso Pain Specialists, PA was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.