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

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1487270351

Formoso Pain Specialists, PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11555 Central Pkwy Ste 304
Jacksonville, FL 32224-2694
Phone: (904) 201-3111
Fax: (904) 201-3095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1361 13th Ave S Ste 250, Jacksonville Beach, FL 32250-3238 — (904) 201-3111

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1487270351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ferdinand Formoso — Owner · (904) 588-2393
NPI enumeratedJune 17, 2020
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694

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