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FORMOSO PAIN SPECIALISTS, PA
NPI 1831850494
Clinic/Center - Pain in Jacksonville Beach, FL

Active since January 06, 2022
1361 13TH AVE S STE 170, JACKSONVILLE BEACH, FL 32250(904) 650-2963 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Formoso Pain Specialists, Pa NPPES

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

FORMOSO PAIN SPECIALISTS, PA (NPI 1831850494) is a healthcare organization registered as a pain in Jacksonville Beach, Florida and active in the NPI registry since January 2022. The organization lists Ferdinand Joseph Formoso, Owner, as its authorized official.

NPPES Registry Identity

NPI1831850494
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameFORMOSO PAIN SPECIALISTS, PA
Location Address1361 13TH AVE S STE 170Jacksonville Beach, FL 32250-3235
Mailing Address11555 Central Pkwy Ste 304Jacksonville, FL 32224-2694 · (904) 650-2963
Phone(904) 650-2963
Organization SubpartNo
Authorized OfficialFerdinand Joseph FormosoOwner · (904) 588-2393
Enumeration DateJanuary 6, 2022
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1831850494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
1361 13TH AVE S STE 170, Jacksonville Beach, FL 32250
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Other Providers at the Same Location NPPES

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

THERAPYCARE HOME HEALTH LLC
Home Health
1361 13TH AVE S STE 170
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-3436

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 1831850494. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Formoso Pain Specialists, PA located?

Formoso Pain Specialists, PA is located at 1361 13th Ave S Ste 170, Jacksonville Beach, FL 32250. The listed phone number is (904) 650-2963.

What is Formoso Pain Specialists, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Formoso Pain Specialists, PA was last updated on February 15, 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.