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

Southeast Interventional Pain Specialists, Inc

Organization Interventional Pain Medicine Physician · NPI 1710618160

Southeast Interventional Pain Specialists, Inc is an Interventional Pain Medicine Physician in Saint Johns, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Bartram Oaks Walk
Saint Johns, FL 32260-7701
Phone: (904) 999-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1710618160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abraham Fura — Owner · (904) 902-4126
NPI enumeratedJune 17, 2022
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing addressPo Box 600366, St Johns, FL 32260-0366