Organization
FORMOSO PAIN SPECIALISTS, PA
Active
Organization
FORMOSO PAIN SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERDINAND JOSEPH FORMOSO DO (OWNER/CEO)
(904) 201-3111
Entity
Organization
Contact information
Practice address
857 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5362
(904) 201-3111
(904) 201-3095
Mailing address
857 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5362
(904) 201-3111
(904) 201-3095
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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