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

Formoso Pain Specialists, PA

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1548105372

Formoso Pain Specialists, PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

857 Edgewood Ave S
Jacksonville, FL 32205-5362
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.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1548105372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ferdinand Formoso — Owner/Ceo · (904) 201-3111
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address857 Edgewood Ave S, Jacksonville, FL 32205-5362

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