OrganizationActive
Formoso Pain Specialists, PA
NPI 1831850494 · Pain Clinic/Center · Jacksonville Beach, FL
Provider details
- NPI number
- 1831850494
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Ferdinand Formoso, Owner
Practice location
1361 13th Ave S Ste 170
Jacksonville Beach, FL 32250-3235
Phone: (904) 650-2963
Mailing address
11555 Central Pkwy Ste 304
Jacksonville, FL 32224-2694
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.