NPI 1356840409 · live from the CMS NPI Registry
Advanced Pain Management Group, INC.
Anesthesiology, Pain Medicine in Jacksonville, FL. National Provider Identifier 1356840409, active.
NPI record
| NPI | 1356840409 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216 |
| Practice phone | 904-256-4573 |
| Mailing address | Po Box 16421, Greenville, SC 29606 |
| Enumerated | February 5, 2018 |
| Last updated | February 5, 2018 |
| Authorized official | Geetha Manchireddy, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — |
| Anesthesiology, Pain Medicine primary | 207LP2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.