# PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942603899
- **Authorized official:** DR. PARVEEN KHANNA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (904) 495-7200

## Contact information

- **Practice address:** 10250 NORMANDY BOULEVARD, SUITE 702, JACKSONVILLE, FL 32221
- **Practice address phone:** (904) 495-7200
- **Practice address fax:** (904) 495-7199
- **Mailing address:** 10250 NORMANDY BLVD, SUITE 703, JACKSONVILLE, FL 32221-8059
- **Mailing address phone:** (904) 495-7200
- **Mailing address fax:** (904) 495-7199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | ME87424 | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME87424 | FL | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 01/27/2017