Organization
FLORIDA REGIONAL PAIN MANAGEMENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONITH MANOHAR MD (PRESIDENT)
(904) 737-7246
Entity
Organization
Contact information
Practice address
8259 BAYBERRY RD, JACKSONVILLE, FL 32256-7432
(904) 737-7246
(904) 737-2700
Mailing address
8259 BAYBERRY RD, JACKSONVILLE, FL 32256-7432
(904) 737-7246
(904) 737-2700
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
ME66980
FL
Other
Enumeration date
10/09/2008
Last updated
02/16/2011
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