FLORIDA INSTITUTE OF PAIN MEDICINE LLC (NPI# 1740750967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740750967 |
| Entity Type | Organization |
| Organization Name | FLORIDA INSTITUTE OF PAIN MEDICINE LLC |
| Practice Address |
4796 Hodges Blvd Suite 101 Jacksonville FL 32224 |
| Mailing Address |
Po Box 1538 Ponte Vedra Beach FL 32004-1538 |
| Practice Telephone | 9044497246 |
| Practice Fax Number | 9047197571 |
| Mailing Telephone | 9044497246 |
| Mailing Fax Number | 9047197571 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | JERRY R FOLTZ (OWNER) |
| Authorized Official Telephone | 9044497246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Florida Coast Pain and Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487362 | Florida Institute of Pain Medicine LLC | Pain Medicine | 2386 Dunn Ave Ste 111, Jacksonville, FL 32218-4751 | 2018-11-29 |
| 1578193504 | Florida Institute of Pain Medicine LLC | Anesthesiology | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2020-01-17 |
| 1346710571 | Florida Institute of Pain Medicine LLC | Anesthesiology | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-30 |
| 1194056283 | Florida Institute of Pain Medicine LLC | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2010-01-29 |
| Street Address |
4796 HODGES BLVD SUITE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290677 | Jerry Richard Foltz II | Anesthesiology | 4796 Hodges Blvd, Suite 101-104, Jacksonville, FL 32224 | 2006-01-26 |
| 1033691050 | Northern Florida Anesthesia Services Pllc | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2018-09-06 |
| 1225402258 | Ivey Jean Perkins | Physical Therapy Assistant | 4796 Hodges Blvd, Unit 101, Jacksonville, FL 32224 | 2015-11-13 |
| 1194056283 | Florida Institute of Pain Medicine LLC | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2010-01-29 |
| 1942441746 | Alexis A Jimenez | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2009-03-09 |
| 1598801979 | Christopher R Crerar | Nurse Anesthetist, Certified Registered | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1811367832 | Allied Pain Management | Clinic/Center | 4270 Point La Vista Rd W, Jacksonville, FL 32207-6248 | 2015-10-02 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 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 |
| 1912158783 | Florida Regional Pain Management, Pa | Clinic/Center | 8259 Bayberry Rd, Jacksonville, FL 32256-7432 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1730611526 | Metro Medical Center Corporation | Clinic/Center | 3940 Metro Pkwy Ste 103, Fort Myers, FL 33916-9407 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on FLORIDA INSTITUTE OF PAIN MEDICINE LLC.
| 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.