Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Pain Management Clinic, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1316179245

Advanced Pain Management Clinic, LLC is a Pain Medicine (Anesthesiology) Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5757 Booth Rd Bldg 100
Jacksonville, FL 32207
Phone: (904) 683-2596
Fax: (904) 683-2597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence OS8432 (FL)

Record details

NPI number1316179245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Willens — President · (904) 635-5555
NPI enumeratedAugust 11, 2009
Last updated in NPPESJuly 26, 2010
Mailing address5757 Booth Road, Bldg 100, Jacksonville, FL 32207

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