OMEGA PAIN CARE DISPENSARY (NPI# 1356527576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356527576 |
| Entity Type | Organization |
| Organization Name | OMEGA PAIN CARE DISPENSARY |
| Practice Address |
3101 University Blvd S Suite #203 Jacksonville FL 32216-2790 |
| Mailing Address |
Po Box 4688 Fort Lauderdale FL 33338-4688 |
| Practice Telephone | 8132316351 |
| Mailing Telephone | 9543767313 |
| Mailing Fax Number | 9546970153 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MS. CICELY D EASON (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 5617894911 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIAN'S CHOICE DISPENSING SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS8811 | FL | Suppliers |
| Street Address |
3101 UNIVERSITY BLVD S SUITE #203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779262 | Fidel Garcia | Internal Medicine | 3101 University Blvd S, Suite 102, Jacksonville, FL 32216 | 2005-09-09 |
| 1265077952 | Christopher David Rosenberg | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1447895149 | Angela Marie Parks | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1447895131 | Cidney Tabatha Hodges | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1932741600 | James Paul Bergeron | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-14 |
| 1639711765 | Jeffrey Allen Harry | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-10 |
| 1093357204 | Melissa O'quin | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-09 |
| 1881168433 | Curequest Clinical, LLC | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-01-16 |
| 1063895753 | Omega Health & Wellness | Clinic/Center | 3101 University Blvd S, Suite 203, Jacksonville, FL 32216-2790 | 2015-06-30 |
| 1710384979 | Gbt Lba | Clinic/Center | 3101 University Blvd S, Suite 203, Jacksonville, FL 32216-2790 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1306033915 | Linear Rx, Inc | Non-Pharmacy Dispensing Site | 3333 Hendricks Ave, Jacksonville, FL 32207-5301 | 2007-09-27 |
| 1932680469 | Florida Physician Specialists LLC | Non-Pharmacy Dispensing Site | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2018-08-23 |
| 1114434206 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2018-01-10 |
| 1124531082 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1000 W Morton Ave, Jacksonville, IL 62650-3152 | 2017-11-14 |
| 1972969756 | Southeast Orthopedic Specialists, Inc | Non-Pharmacy Dispensing Site | 2627 Riverside Ave, Suite 300, Jacksonville, FL 32204-4712 | 2016-01-08 |
| 1053776468 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 15255 Max Leggett Pkwy, 5th Floor, Jacksonville, FL 32218-7273 | 2015-12-30 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| 1295105310 | Podiatry Associates of Florida, Inc. | Non-Pharmacy Dispensing Site | 1914 Southside Blvd, #1, Jacksonville, FL 32216-1996 | 2015-10-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on OMEGA PAIN CARE DISPENSARY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.