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1831850494
FORMOSO PAIN SPECIALISTS, PA
JACKSONVILLE BEACH, FL
NPI
1831850494
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Entity Type
Organization
Authorized Contact
FERDINAND JOSEPH FORMOSO
Owner
904-588-2393
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2022-01-06
Last Update Date
2022-02-15
Business Address
FORMOSO PAIN SPECIALISTS, PA
1361 13TH AVE S STE 170
JACKSONVILLE BEACH, FL 32250-3235
Phone number: 904-650-2963
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Mailing Address
FORMOSO PAIN SPECIALISTS, PA
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224-2694
Phone number: 904-650-2963
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