Individual
DR. JERRY RICHARD FOLTZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4796 HODGES BLVD, SUITE 101-104, JACKSONVILLE, FL 32224
(904) 449-7246
(904) 719-7571
Mailing address
PO BOX 734905, DALLAS, TX 75373-4905
(904) 449-7246
(904) 719-7571
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME 95194
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME95194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100386600
—
FL
Enumeration date
01/26/2006
Last updated
09/25/2019
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