Organization
ST. JOSEPH PAIN & ANESTHESIA CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO PARDO M.D. (PRESIDENT/TREASURER)
(904) 647-9199
Entity
Organization
Contact information
Practice address
1804 WIND RIDGE CT, FLEMING ISLAND, FL 32003-4704
(904) 647-9199
Mailing address
1804 WIND RIDGE CT, FLEMING ISLAND, FL 32003-4704
(904) 647-9199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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