Organization
JACKSONVILLE PAIN AND INJURY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO PARDO M.D. (PRESIDENT/DIRECTOR)
(904) 647-9199
Entity
Organization
Contact information
Practice address
4051 PHILLIPS HWY STE 2, JACKSONVILLE, FL 32207-6895
(904) 647-9199
Mailing address
4051 PHILLIPS HWY STE 2, JACKSONVILLE, FL 32207-6895
(904) 647-9199
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HB258A
MEDICARE PTAN
FL
Enumeration date
10/01/2012
Last updated
08/09/2013
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