Organization
FLORIDA INSTITUTE OF PAIN MEDICINE LLC
Active
Other names
Florida Pain Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R FOLTZ MD (OWNER)
(904) 449-7246
Entity
Organization
Contact information
Practice address
206 ASHOURIAN AVE STE 206, ST AUGUSTINE, FL 32092-5107
(904) 449-7246
(904) 719-7571
Mailing address
PO BOX 734905, DALLAS, TX 75373-4905
(904) 449-7246
(904) 719-7571
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
11/30/2018
Last updated
08/20/2021
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