Individual
DR. FERDINAND JOSEPH FORMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11555 CENTRAL PKWY, SUITE 304, JACKSONVILLE, FL 32224-2691
(904) 265-7755
(904) 265-7754
Mailing address
11555 CENTRAL PKWY STE 304, JACKSONVILLE, FL 32224-2694
(904) 201-3111
(904) 201-3095
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS10067
FL
208VP0014X
Interventional Pain Medicine Physician
OS10067
FL
Other
Enumeration date
05/09/2007
Last updated
04/27/2022
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