Unknown Individual – Interventional Pain Medicine Physician, NPI 1255523957
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2021, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
SUITE 103
ORANGE PARK, FL 320735174
Phone: (904) 292-2700
Fax: (904) 292-2666
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328919327
Phone: (904) 651-8206
Fax: (904) 900-2221
Type: Mailing
2021 KINGSLEY AVE STE 109
ORANGE PARK, FL 320735128
Phone: (904) 651-8206
Fax: (904) 900-2221
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32073)
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