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Organization
FLORIDA PAIN SPECIALISTS PLLC
Active
Organization
FLORIDA PAIN SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ROBERTS (ADMINISTRATOR)
(904) 509-8739
Entity
Organization
Contact information
Practice address
4100 SOUTHPOINT DR E STE 1, JACKSONVILLE, FL 32216-8710
(046) 475-2669
(904) 770-5594
Mailing address
4100 SOUTHPOINT DR E STE 1, JACKSONVILLE, FL 32216-8710
(046) 475-2669
(904) 770-5594
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
—
—
314000000X
Skilled Nursing Facility
ME117856
FL
314000000X
Skilled Nursing Facility
PA9105187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487954723
NPI
FL
01
—
1578898524
NPI
FL
Enumeration date
09/14/2016
Last updated
08/13/2025
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