LTR MEDICAL MANAGEMENT GROUP INC (NPI# 1972555316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972555316 |
| Entity Type | Organization |
| Organization Name | LTR MEDICAL MANAGEMENT GROUP INC |
| Other Organization Name | FIRST COAST PHYSICAL MEDICINE |
| Practice Address |
3101 University Blvd S Jacksonville FL 32216-2750 |
| Mailing Address |
Po Box 55065 Jacksonville FL 32216-0065 |
| Practice Telephone | 9047277733 |
| Practice Fax Number | 9047277737 |
| Mailing Telephone | 9047277733 |
| Mailing Fax Number | 9047277737 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANET L STEPHENS (OFFICE MANAGER) |
| Authorized Official Telephone | 9047277733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| First Coast Physical Medicine | Doing Business As Name - Organization |
| Street Address |
3101 UNIVERSITY BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2750 |
| 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 | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998975 | Haitao Zhang Md, P.a. | Pain Medicine | 3688 Burnt Pine Dr, Jacksonville, FL 32224-0870 | 2019-08-19 |
| 1013487362 | Florida Institute of Pain Medicine LLC | Pain Medicine | 2386 Dunn Ave Ste 111, Jacksonville, FL 32218-4751 | 2018-11-29 |
| 1912219064 | Emed Multispecialty Group Pa | Pain Medicine | 2624 Atlantic Boulevard, Jacksonville, FL 32204 | 2010-07-06 |
| 1013967561 | Thomas Van Holland | Pain Medicine | 5834 Normandy Blvd, Jacksonville, FL 32205-6253 | 2006-05-12 |
| 1710948856 | Gerardo Florez | Pain Medicine | 1755 University Blvd W, Jacksonville, FL 32217-2009 | 2006-03-29 |
| 1407822067 | Michael James Lupi | Pain Medicine | 11705 San Jose Blvd Ste 110, Jacksonville, FL 32223 | 2006-02-24 |
| 1720609381 | Guardian Medical Care Pllc | Pain Medicine | 943 Cesery Blvd Ste G, Jacksonville, FL 32211-5655 | 2020-05-05 |
| 1508355181 | Integrated Pain Services Inc | Pain Medicine | 4063 Salisbury Rd, Jacksonville, FL 32216-8030 | 2018-05-09 |
| 1154563591 | Courtney Melton Auman | Pain Medicine | 57 Office Park Dr, Jacksonville, NC 28546-7327 | 2009-03-31 |
| 1134282296 | Marla D Golden Do Pa | Pain Medicine | 6817 Southpoint Pkwy, Suite 1404, Jacksonville, FL 32216-6282 | 2006-12-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| 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.