CHRONIC PAIN MANAGEMENT DISPENSARY – Non-Pharmacy Dispensing Site, NPI 1952587172
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2005-11-20. Reason: Entity controlled by a sanctioned individual.
Non-Pharmacy Dispensing Site
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHRONIC PAIN MANAGEMENT DISPENSARY
1660, Blanding Boulevard, Lake Shore, Jacksonville, Duval County, Florida, 32210, United States
JACKSONVILLE, FL 322101835
Phone: (904) 389-3800
Type: Location
PO BOX 4688
FORT LAUDERDALE, FL 333384688
Phone: (954) 376-7313
Fax: (954) 697-0153
Type: Mailing
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32210)
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