Organization
OMEGA PAIN JAX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H COKER (PRESIDENT)
(941) 232-6739
Entity
Organization
Contact information
Practice address
837 LAUREL AVE, VENICE, FL 34285-4720
(941) 232-6739
Mailing address
3101 UNIVERSITY BLVD S, SUITE 203, JACKSONVILLE, FL 32216-2790
(904) 724-5767
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC 662
FL
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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