Organization
SOUTHEAST INTERVENTIONAL PAIN SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM FURA DO (OWNER)
(904) 902-4126
Entity
Organization
Contact information
Practice address
112 BARTRAM OAKS WALK, SAINT JOHNS, FL 32260-7701
(904) 999-9999
Mailing address
PO BOX 600366, ST JOHNS, FL 32260-0366
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
03/09/2026
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