Organization
SEVEN BRIDGES PAIN SPECIALISTS LLC
Active
Organization
SEVEN BRIDGES PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GALLO MD (OWNER)
(904) 503-5464
Entity
Organization
Contact information
Practice address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 503-5464
(904) 575-4399
Mailing address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 503-5464
(904) 575-4399
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/20/2023
Last updated
09/11/2023
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