Organization
INTEGRATED PAIN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH MENDEZ-VIGO (CREDENTIALING MANAGER)
(904) 982-7447
Entity
Organization
Contact information
Practice address
3101 UNIVERSITY BLVD S STE 200, JACKSONVILLE, FL 32216-2753
(904) 717-9625
(904) 683-6499
Mailing address
PO BOX 550897, JACKSONVILLE, FL 32255-0897
(904) 717-9625
(904) 683-6499
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
06/07/2021
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