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Organization
PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC
Active
Organization
PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVEEN KHANNA MD (MEDICAL DIRECTOR)
(904) 495-7200
Entity
Organization
Contact information
Practice address
10250 NORMANDY BOULEVARD, SUITE 702, JACKSONVILLE, FL 32221
(904) 495-7200
(904) 495-7199
Mailing address
10250 NORMANDY BLVD, SUITE 703, JACKSONVILLE, FL 32221-8059
(904) 495-7200
(904) 495-7199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME87424
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME87424
FL
Other
Enumeration date
10/07/2014
Last updated
01/27/2017
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